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JACQUELINE FUENTES CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2451 S AVENUE A STE A104, YUMA, AZ 85364-7189
(928) 336-2165
Mailing address
2400 S AVENUE A, YUMA, AZ 85364-7170
(928) 344-2000

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN208944
AZ
363L00000X
Nurse Practitioner
Primary
305501
AZ

Other

Enumeration date
08/18/2020
Last updated
11/19/2024
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