TAVARES CAMPBELL
Individual Provider (NPI-1)
Active
Homemaker
Provider Information
- NPI Number
1518743178- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 89 ROCHELA DR, SOUTHINGTON, CT, 064894670
- Phone
- (860) 781-1973
Specialties & Taxonomies
Homemaker
Primary License: CT #0002272