Individual
MISS CAMILLE R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1940 SW FOREST RIDGE AVE, BEND, OR 97702-1917
(805) 931-4444
Mailing address
2280 NE CHERRY LOOP, PRINEVILLE, OR 97754-9328
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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