Individual
MISS CHRISTIANA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
20207 120TH AVE, SAINT ALBANS, NY 11412-3837
(919) 333-1996
Mailing address
20207 120TH AVE, SAINT ALBANS, NY 11412-3837
(919) 333-1996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
323286
NY
Other
Enumeration date
05/29/2018
Last updated
05/29/2018
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