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Individual

JENNA CAMERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S. OTR/L

Contact information

Practice address
10530 MATSON WAY, SAN DIEGO, CA 92126-3058
(410) 708-8653
Mailing address
10530 MATSON WAY, SAN DIEGO, CA 92126-3058
(410) 708-8653

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
06154
MD
225XP0200X
Pediatric Occupational Therapist
Primary
14573
CA

Other

Enumeration date
10/16/2013
Last updated
11/25/2014
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