Individual
CAITLYN R CAMERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4110 51ST AVE SOUTH, FARGO, ND 58104
(701) 364-3160
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAC0646
ND
Other
Enumeration date
08/28/2016
Last updated
08/31/2016
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