Individual provider · NPI-1

Melinda Camacho

Nurse's Aide · Phoenix, AZ

NPI number1942971601
StatusActive
Last updated in NPPESSep 22, 2021

Details

NPI
1942971601
Entity type
Individual (NPI-1)
Name
Melinda Camacho
Sex
Female
Sole proprietor
No
Enumeration date
Sep 22, 2021
Certification date
Sep 22, 2021
Last updated
Sep 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide242261NDYes

Practice location

775 E Willetta St
Phoenix, AZ 85006-2723

Phone 480-581-3900

Mailing address

3017 N 310th Ln
Buckeye, AZ 85396-6766

Phone 602-473-7315

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