Provider Demographics
NPI:1598331092
Name:BEY, CAMORA
Entity Type:Individual
Prefix:
First Name:CAMORA
Middle Name:
Last Name:BEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 COFER RD # B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-6403
Mailing Address - Country:US
Mailing Address - Phone:804-218-5345
Mailing Address - Fax:
Practice Address - Street 1:4000 BENNING RD NE APT 107
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-3469
Practice Address - Country:US
Practice Address - Phone:202-361-1572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-03
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant