Individual
MS. SHAMON FAIRMAN CAMPOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2055C N PERRIS BLVD, PERRIS, CA 92571-2512
(951) 470-9653
Mailing address
2055C N PERRIS BLVD, PERRIS, CA 92571-2512
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-OVJZPH
CA
225400000X
Rehabilitation Practitioner
—
CA
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/28/2024
Last updated
07/16/2025
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