Individual
GRACE GIFT CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5349 AMESBURY DR APT 2507, DALLAS, TX 75206-3478
(214) 808-5655
Mailing address
5349 AMESBURY DR APT 2507, DALLAS, TX 75206-3478
(214) 808-5655
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
964266
TX
Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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