Provider Demographics
NPI:1528326444
Name:CAMBELL, DENISE MARIA
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARIA
Last Name:CAMBELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1820 DOUBLE DELIGHT AVE
Mailing Address - Street 2:
Mailing Address - City:N LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-0202
Mailing Address - Country:US
Mailing Address - Phone:702-580-4935
Mailing Address - Fax:
Practice Address - Street 1:1820 DOUBLE DELIGHT AVE
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-0202
Practice Address - Country:US
Practice Address - Phone:702-580-4935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-28
Last Update Date:2012-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner