Individual
COLLENE WRIGHT CAMILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8220 WYNMARK DR, STE 200, ELK GROVE, CA 95757-6298
(916) 667-0600
(916) 683-0232
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008445
VA
363A00000X
Physician Assistant
Primary
52957
CA
Other
Enumeration date
10/12/2015
Last updated
05/30/2024
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