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Individual

MRS. ERIN E CAMDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4301 W BROAD ST, RICHMOND, VA 23230-3305
(804) 358-0361
Mailing address
4015 AUGUSTA AVE, RICHMOND, VA 23230-3903
(804) 301-1334

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002093
VA
363A00000X
Physician Assistant
25MP00190100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110002093
STATE LICENSE
VA
Enumeration date
09/17/2008
Last updated
09/17/2008
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