Individual
MRS. JEANETTE ELAINE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC,DIP.OM
Contact information
Practice address
719 N 5TH ST, COTTONWOOD, AZ 86326-3708
(928) 639-3700
(928) 223-4270
Mailing address
719 N 5TH ST, COTTONWOOD, AZ 86326-3708
(928) 639-3700
(928) 223-4270
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
0515
AZ
171100000X
Acupuncturist
Primary
10056
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0515
STATE ACUPUNCTURE LICENSE
AZ
Enumeration date
03/01/2007
Last updated
04/12/2022
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