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Organization
I CAMERON ENTERPRISES LLC
Active
Organization
I CAMERON ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY CAMERON RN (OWNER)
(509) 430-5885
Entity
Organization
Contact information
Practice address
5908 BEDFORD ST, PASCO, WA 99301-6605
(509) 547-4721
Mailing address
4804 MARIOLA LN, PASCO, WA 99301-8374
(509) 430-5885
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
—
NULL
163WR0006X
Registered Nurse First Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/24/2020
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