Individual
ELSI LORENA CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
8630 FENTON ST, SILVER SPRING, MD 20910-3806
(301) 340-7525
Mailing address
9709 DORVAL AVE, UPPER MARLBORO, MD 20772-4407
(240) 643-3889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R187956
MD
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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