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Individual

DR. BRITTANY ARLENE CAMILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC, RN

Contact information

Practice address
11357 LAKEPORT DR, RIVERSIDE, CA 92505-3470
(310) 344-1027
Mailing address
11357 LAKEPORT DR, RIVERSIDE, CA 92505-3470
(310) 344-1027

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
803915
CA
363L00000X
Nurse Practitioner
Primary
95024692
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
95024692
CA
Enumeration date
03/03/2023
Last updated
05/02/2023
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