Individual
MR. EDWARD J CAMPBELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Mailing address
5901 ZUNI RD SE, ALBUQUERQUE, NM 87108-3073
(505) 841-8978
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L19122
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L19122
NEW MEXICO BOARD OF NURSING
NM
Enumeration date
01/27/2009
Last updated
01/27/2009
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