Individual
NICO JAY GAMAYON CAMIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
13311 SANDRA PL, GARDEN GROVE, CA 92843-2712
(661) 778-9779
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
95114817
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95114817
CA
Other
Enumeration date
12/31/2019
Last updated
03/28/2020
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