Individual
CAMILLA MIGNUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 E 67TH ST, NEW YORK, NY 10065-6004
(800) 525-2225
Mailing address
6601 SUDBURY RD, PLANO, TX 75024-7534
(972) 978-0606
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/25/2020
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