SearchMississippi163WR0006X

Olivia Campbell

NPI 1336620798 · on the registry since 2018 · sole proprietor

Practice

Address
2617 Demaret Dr
Gulfport, MS 39507
Phone
(228) 342-1634

Registry record

Primary taxonomy
163WR0006X
163WR0006X
Also registered as
163W00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi