Individual
CAMILLE LOFTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
(409) 772-9592
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-5302
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01226
TX
Other
Enumeration date
12/17/2014
Last updated
12/17/2014
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