Individual
HEATHER CAMERON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 JOHNSON AVE, SAN LUIS OBISPO, CA 93401-4513
(805) 781-4716
Mailing address
337 HACIENDA DR, CAYUCOS, CA 93430-1524
(805) 540-9205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95022944
CA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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