Organization
CAMILLE PARKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLE MONIQUE PARKER (LVN)
(619) 715-0759
Entity
Organization
Contact information
Practice address
364 KRALIK ST, OCEANSIDE, CA 92058-8006
(619) 715-0759
Mailing address
364 KRALIK ST, OCEANSIDE, CA 92058-8006
(619) 715-0759
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
B4442729
CA
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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