Healthcare Provider Details

I. General information

NPI: 1033384318
Provider Name (Legal Business Name): MS. LAURA H CAMPOS-HUGHES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 MOUNT VERNON AVE
BAKERSFIELD CA
93306-3302
US

IV. Provider business mailing address

1800 MOUNT VERNON AVE
BAKERSFIELD CA
93306-3302
US

V. Phone/Fax

Practice location:
  • Phone: 661-868-0438
  • Fax: 661-868-0217
Mailing address:
  • Phone: 661-868-0438
  • Fax: 661-868-0217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: