Individual
CHARMAINE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22121 JAMAICA AVE, QUEENS VILLAGE, NY 11428-2015
(718) 468-6923
(718) 468-6925
Mailing address
221 21 JAMAICA AVE, QUEENS VILLAGE, NY 11428
(718) 468-6923
(718) 468-6925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305445
NY
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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