Individual
MRS. MARY HELEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 PHOENIX AVE NE, SUITE #C, ALBUQUERQUE, NM 87110-3719
(505) 299-3003
(505) 299-3012
Mailing address
7800 PHOENIX AVE NE, SUITE #C, ALBUQUERQUE, NM 87110-3719
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77033531
—
NM
Enumeration date
03/28/2007
Last updated
07/09/2007
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