Provider Demographics
NPI:1811709835
Name:DAWSON, ALLISON CAMILLE (CHW)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:CAMILLE
Last Name:DAWSON
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:CAMILE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32583 RITTER CT
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-3384
Mailing Address - Country:US
Mailing Address - Phone:917-946-4286
Mailing Address - Fax:
Practice Address - Street 1:32583 RITTER CT
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-3384
Practice Address - Country:US
Practice Address - Phone:917-946-4286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-25
Last Update Date:2025-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker