Individual
JORDAN CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
268 LEWELLING BLVD, ASHLAND, CA 94580-1632
(800) 566-1856
Mailing address
1410 SUTTER CREEK LN, SAN RAMON, CA 94583-2677
(925) 413-5415
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN727284
CA
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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