Individual
CAMILLE M. HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
72301 COUNTRY CLUB DR, SUITE 108, RANCHO MIRAGE, CA 92270-8007
(760) 895-1993
(760) 862-1992
Mailing address
72301 COUNTRY CLUB DR, SUITE 108, RANCHO MIRAGE, CA 92270-8007
(760) 895-1993
(760) 862-1992
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A64900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A649000
—
CA
Enumeration date
11/01/2006
Last updated
10/15/2013
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