Individual
CAMERON RASHAD MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(916) 427-7141
Mailing address
3161 DWIGHT RD, ELK GROVE, CA 95758-6456
(916) 427-7141
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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