Provider Demographics
NPI:1386340743
Name:CAMPBELL, RACHEL MAE (CD)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5252 BALBOA ARMS DR UNIT 284
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4942
Mailing Address - Country:US
Mailing Address - Phone:510-731-8709
Mailing Address - Fax:
Practice Address - Street 1:5252 BALBOA ARMS DR UNIT 284
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92117-4942
Practice Address - Country:US
Practice Address - Phone:510-731-8709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula