Individual
GRACIELA CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 634-9534
Mailing address
14916 GAGELY DR APT 4, LA MIRADA, CA 90638-2122
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
702319
CA
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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