Provider Demographics
NPI:1154652717
Name:CAMOMILE, JENNIFER (CD(DONA))
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:CAMOMILE
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 RAMONA DR
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-3535
Mailing Address - Country:US
Mailing Address - Phone:805-217-5072
Mailing Address - Fax:
Practice Address - Street 1:1225 RAMONA DR
Practice Address - Street 2:
Practice Address - City:NEWBURY PARK
Practice Address - State:CA
Practice Address - Zip Code:91320-3535
Practice Address - Country:US
Practice Address - Phone:805-217-5072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula