Individual
DOMENICA CAMACI-DOULEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 258-2440
(217) 258-2186
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209027636
IL
Other
Enumeration date
04/26/2023
Last updated
06/26/2025
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