Individual
MS. RAQUEL M DECAMP
Active
Individual
MS. RAQUEL M DECAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004821
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20526
—
NE
05
—
666236332C
—
GA
05
—
666236332D
—
GA
05
—
666236332E
—
GA
05
—
666236332F
—
GA
05
—
666236332G
—
GA
Enumeration date
12/19/2005
Last updated
11/05/2019
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