Provider Demographics
NPI:1023308434
Name:CAMPBELL, BARBARA J (LVN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6242 MULAN ST
Mailing Address - Street 2:
Mailing Address - City:EASTVALE
Mailing Address - State:CA
Mailing Address - Zip Code:92880-0790
Mailing Address - Country:US
Mailing Address - Phone:951-354-8800
Mailing Address - Fax:951-354-8800
Practice Address - Street 1:6242 MULAN ST
Practice Address - Street 2:
Practice Address - City:EASTVALE
Practice Address - State:CA
Practice Address - Zip Code:92880-0790
Practice Address - Country:US
Practice Address - Phone:951-354-8800
Practice Address - Fax:951-354-8800
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-19
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN 245052164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse