Individual
CAMILLE MENDOZA VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8458 TAMBOR WAY, ELK GROVE, CA 95758-7217
(510) 634-4703
Mailing address
8458 TAMBOR WAY, ELK GROVE, CA 95758-7217
(510) 634-4703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95218167
CA
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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