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Jenna Alicia Camacho

Case Manager/Care Coordinator in Goleta, CA. Individual provider (NPI-1).

NPI number1366745366
StatusActive
Last updated in NPPESDec 13, 2010

Details

NPI
1366745366
Entity type
Individual (NPI-1)
Name
Jenna Alicia Camacho
Sex
Female
Sole proprietor
No
Enumeration date
Dec 13, 2010
Last updated
Dec 13, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

315 Camino Del Remedio
Goleta, CA 93110-1332

Phone 805-681-5104

Mailing address

1119 Bell Ave
Lompoc, CA 93436-3639

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