Individual
MRS. DEBRA LEE DECAMBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1510 FLORIDA AVE STE H, MODESTO, CA 95350-4437
(209) 574-1030
(209) 574-1036
Mailing address
1510 FLORIDA AVE STE H, MODESTO, CA 95350-4437
(209) 574-1030
(209) 574-1036
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
N7417628
CA
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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