Individual
ROWENNA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 DIVOT DR, COLUMBIA, MO 65201-6481
(910) 264-1199
Mailing address
211 DIVOT DR, COLUMBIA, MO 65201-6481
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2005018316
MO
Other
Enumeration date
12/31/2024
Last updated
12/31/2024
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