Individual
MELINDA CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
775 E WILLETTA ST, PHOENIX, AZ 85006-2723
(480) 581-3900
Mailing address
3017 N 310TH LN, BUCKEYE, AZ 85396-6766
(602) 473-7315
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
242261
ND
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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