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Individual

MS. MARKIA CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6050 MONCRIEF RD, JACKSONVILLE, FL 32209-2556
(904) 651-0113
Mailing address
12026 JAPANESE MAPLE ST, JACKSONVILLE, FL 32218-1562
(904) 651-0113

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106580300
FL
Enumeration date
01/21/2022
Last updated
01/21/2022
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