Individual
ANGELA MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3577 WILSON AVE, BRONX, NY 10469-2348
(917) 363-6000
Mailing address
3577 WILSON AVE, BRONX, NY 10469-2348
(917) 363-6000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292013-1
NY
Other
Enumeration date
09/24/2010
Last updated
09/24/2010
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