Provider Demographics
NPI:1700538147
Name:CAMACHO MUNOZ, MA. SOLEDAD (C-PA)
Entity Type:Individual
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First Name:MA. SOLEDAD
Middle Name:
Last Name:CAMACHO MUNOZ
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Gender:F
Credentials:C-PA
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Mailing Address - Street 1:1481 S CENTER RD STE B
Mailing Address - Street 2:
Mailing Address - City:BURTON
Mailing Address - State:MI
Mailing Address - Zip Code:48509-1779
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1481 S CENTER RD STE B
Practice Address - Street 2:
Practice Address - City:BURTON
Practice Address - State:MI
Practice Address - Zip Code:48509-1779
Practice Address - Country:US
Practice Address - Phone:810-820-6708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant