Provider Demographics
NPI:1871182170
Name:JURAO, CAMILA LESLIE (PUBLIC HEALTH RN)
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:LESLIE
Last Name:JURAO
Suffix:
Gender:F
Credentials:PUBLIC HEALTH RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3631 S 257TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5669
Mailing Address - Country:US
Mailing Address - Phone:206-734-0854
Mailing Address - Fax:
Practice Address - Street 1:401 5TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1818
Practice Address - Country:US
Practice Address - Phone:206-477-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60160133163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management