Individual
CAMILLE STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95696
(707) 448-6841
Mailing address
1600 CALIFORNIA DRIVE, VACAVILLE, CA 95696
(707) 448-6841
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
1730376237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101146
—
OH
01
—
4304111
MEDICARE ID
OH
Enumeration date
09/27/2007
Last updated
01/26/2024
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