Individual
MS. SANDRA DIANA CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 GIVAN AVE, PH, BRONX, NY 10469
(347) 341-5517
Mailing address
1500 GIVAN AVE, PH, BRONX, NY 10469-2756
(347) 341-5517
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
614581-1
NY
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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