Individual
CAMRON STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SAM PERRY BLVD., FREDERICKSBURG, VA 22401
(703) 721-8114
Mailing address
212 GREENBRIER AVE, NORFOLK, VA 23505-1163
(276) 806-9433
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110008786
VA
Other
Enumeration date
01/06/2022
Last updated
10/24/2024
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