Provider Demographics
NPI:1093984114
Name:SCHWARZ, CAMILLA (RN, LAC)
Entity Type:Individual
Prefix:
First Name:CAMILLA
Middle Name:
Last Name:SCHWARZ
Suffix:
Gender:F
Credentials:RN, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ANNAPOLIS ST
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1309
Mailing Address - Country:US
Mailing Address - Phone:410-268-6733
Mailing Address - Fax:
Practice Address - Street 1:115 ANNAPOLIS ST
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1309
Practice Address - Country:US
Practice Address - Phone:410-268-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-22
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01483171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist