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Individual

CIERRA CAMPBELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000
Mailing address
500 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA 23601-1929
(757) 594-2000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009531
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
680046516037
VA
Enumeration date
02/02/2021
Last updated
12/03/2024
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