Individual provider · NPI-1

Venessa Campbell

Technician/Technologist · Lakeland, FL

NPI number1639877129
StatusActive
Last updated in NPPESFeb 23, 2023

Details

NPI
1639877129
Entity type
Individual (NPI-1)
Name
Mrs. Venessa Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Feb 23, 2023
Certification date
Feb 23, 2023
Last updated
Feb 23, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist1315075FLYes

Practice location

997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913

Phone 863-874-4039 · Fax 863-816-6963

Mailing address

997 E Memorial Blvd Ste 103
Lakeland, FL 33801-1913

Phone 863-874-4039 · Fax 863-816-6963

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