Individual
LAUREEN CAMPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
21684 LONGEWAY RD, SONORA, CA 95370-8989
(209) 585-7152
Mailing address
21684 LONGEWAY RD, SONORA, CA 95370-8989
(209) 585-7152
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
RN 344256
CA
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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