Individual
ANGELA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7335 E PALMER WASILLA HWY, PALMER, AK 99645-7710
(990) 774-5620
Mailing address
PO BOX 876646, WASILLA, AK 99687-6646
(907) 745-6200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
04/28/2023
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