Individual
CAMILA TEMPLE VIDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
709 N JUSTICE ST STE B, HENDERSONVILLE, NC 28791-3455
(828) 696-1234
Mailing address
709 N JUSTICE ST STE B, HENDERSONVILLE, NC 28791-3455
(828) 696-1234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238524
NC
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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