Individual
EULA M CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19635 PECK AVE, FRESH MEADOWS, NY 11365-2821
(718) 264-0916
(718) 264-1205
Mailing address
19635 PECK AVE, FRESH MEADOWS, NY 11365-2821
(718) 264-0916
(718) 264-1205
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
508390-1
NY
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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