Organization
TISH CAMPBELL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATISHA CAMPBELL PHD, CNS (FUNCTIONAL NUTRITIONIST)
(503) 260-4076
Entity
Organization
Contact information
Practice address
91-1245 FRANKLIN D ROOSEVELT AVE APT 319, KAPOLEI, HI 96707-2177
(503) 260-4076
Mailing address
91-1245 FRANKLIN D ROOSEVELT AVE APT 319, KAPOLEI, HI 96707-2177
(503) 260-4076
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/05/2024
Last updated
07/05/2024
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