Samantha M Campbell
Technician, Other in Jackson, MI. Individual provider (NPI-1).
NPI number1922690197
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1922690197
- Entity type
- Individual (NPI-1)
- Name
- Miss Samantha M Campbell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 9, 2021
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
1001 Laurence Ave Ste EJackson, MI 49202-2980
Phone 517-750-4777
Mailing address
1733 Little DrHorton, MI 49246-9730
Phone 517-879-6691
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