Individual
DR. CAMILLE ANN HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5717 PACIFIC CENTER BLVD, SAN DIEGO, CA 92121-4250
(858) 859-1188
Mailing address
1934 VIA CTR, VISTA, CA 92081-6056
(760) 448-6691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A115660
CA
Other
Enumeration date
01/30/2006
Last updated
01/13/2022
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