Provider Demographics
NPI:1649155979
Name:CAMPOS, JUDITH (DC)
Entity type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:
Last Name:CAMPOS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8560 S EASTERN AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-2833
Mailing Address - Country:US
Mailing Address - Phone:760-600-3977
Mailing Address - Fax:760-600-3977
Practice Address - Street 1:8560 S EASTERN AVE STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-2833
Practice Address - Country:US
Practice Address - Phone:760-600-3977
Practice Address - Fax:760-600-3977
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVB02119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor