Individual
JOHARI CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6814 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-4197
(323) 474-1474
Mailing address
6814 PACIFIC BLVD, HUNTINGTON PARK, CA 90255-4197
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
687195
CA
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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