Individual
ABRAHAM A. CAMELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E 15TH ST STE C, MERCED, CA 95341-6217
(209) 386-1092
Mailing address
2112 PIRO DR, ATWATER, CA 95301-2576
(209) 201-1412
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
236983
CA
Other
Enumeration date
11/20/2018
Last updated
12/18/2024
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