Individual
DR. CAMILLE TASTENHOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
(916) 734-5514
Mailing address
2230 STOCKTON BLVD, SACRAMENTO, CA 95817-1353
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A185263
CA
2084P0800X
Psychiatry Physician
MD477450
PA
2084P0804X
Child & Adolescent Psychiatry Physician
MD477450
PA
Other
Enumeration date
06/15/2018
Last updated
08/30/2024
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