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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TAVARES CAMPBELL

Active Sole Proprietor

TAVARES CAMPBELL is a Homemaker healthcare provider located in SOUTHINGTON, Connecticut. NPI 1518743178 is currently active in the NPPES registry. Verify at CMS.

Homemaker · SOUTHINGTON, CT

Registration Details

NPI Number
1518743178
Provider Type
Individual
Gender
Male
NPI Issued
Sep 7, 2023 (2.9272977246351 yrs)
Last Updated
Sep 7, 2023
License
0002272 (CT)
Sole Proprietor
Yes

Practice Information

Address
89 ROCHELA DR
SOUTHINGTON, CT, 064894670
Browse CT providers · Browse ZIP 06489
Phone
8607811973
Primary Specialty
Homemaker
376J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.