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Individual
HANNAH ROSE CAMASTRO
Active
Individual
HANNAH ROSE CAMASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4614
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6269PA
—
SC
01
—
SCQ415A
MEDICARE PIN
SC
Enumeration date
08/04/2022
Last updated
08/27/2024
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