Individual
CAMERON HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2 DOVE RD, SANTA ANA PUEBLO, NM 87004-5906
(408) 310-7166
Mailing address
4825 ISLETA BLVD SW, ALBUQUERQUE, NM 87105-6659
(408) 310-7166
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1698
NM
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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