Yaritza Camacho, B.A
Rehabilitation Practitioner in Mentone, CA. Individual provider (NPI-1).
NPI number1053124693
StatusActive
Last updated in NPPESJun 17, 2025
Details
- NPI
- 1053124693
- Entity type
- Individual (NPI-1)
- Name
- Ms. Yaritza Camacho
- Credential
- B.A
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 28, 2025
- Certification date
- Jun 17, 2025
- Last updated
- Jun 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | CA | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | CA |
Practice location
2730 Mill Creek RdMentone, CA 92359-9807
Phone 909-794-5437
Mailing address
2727 E Devonshire AveHemet, CA 92544-7014
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