Individual
MS. LAURIE ELIZABETH CAMPION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNC
Contact information
Practice address
640 MISSION ST., SAN RAFAEL, CA 94901
(415) 389-8434
Mailing address
P.O. BOX 2593, PETALUMA, CA 94953-2593
(707) 479-1889
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
CA
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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