Individual provider · NPI-1
Marisela Camacho Tejeda
Technician, Other · Monterey, CA
NPI number1932015807
StatusActive
Last updated in NPPESAug 20, 2026
Details
- NPI
- 1932015807
- Entity type
- Individual (NPI-1)
- Name
- Marisela Camacho Tejeda
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2026
- Certification date
- Aug 20, 2026
- Last updated
- Aug 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | CA | Yes |
Practice location
798 Lighthouse Ave Ste 324Monterey, CA 93940-1010
Phone 855-832-6727
Mailing address
111 Division St Spc 6King City, CA 93930-3026
Phone 831-737-5429
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