Provider Demographics
NPI:1851424469
Name:MCAMIS, CAMILE RAE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAMILE
Middle Name:RAE
Last Name:MCAMIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1130 COFFEE RD
Mailing Address - Street 2:SUITE 5B
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-4228
Mailing Address - Country:US
Mailing Address - Phone:209-529-2710
Mailing Address - Fax:209-529-5765
Practice Address - Street 1:1130 COFFEE RD
Practice Address - Street 2:SUITE 5B
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-4228
Practice Address - Country:US
Practice Address - Phone:209-529-2710
Practice Address - Fax:209-529-5765
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA890647163WS0121X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0121XNursing Service ProvidersRegistered NursePlastic Surgery