Individual
CAMILLE DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 CALIFORNIA ST STE A, MOUNTAIN VIEW, CA 94040-1359
(408) 795-3600
Mailing address
1691 THE ALAMEDA, SAN JOSE, CA 95126-2203
(408) 287-7526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57845
CA
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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