Most Relevant Information
Provider Data
| NPI Number: | 1003173246 |
| Provider Name: | MANDY CAMPBELL LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | PN.143782-M-IV |
Most Important Dates
| Enumeration Date: | 04/12/2012 |
| Last Updated: | 04/12/2012 |
Provider Practice Location
193 DEPOT ST
WELLINGTON
OH
440901201
Practice Location Phone/Fax
| Phone: | 4403871536 |
| Fax: |
Provider Mailing Location
193 DEPOT ST
WELLINGTON
OH
440901201
Provider Mailing Phone/Fax
| Phone: | 4403871536 |
| Fax: |