Provider Demographics
NPI:1811764822
Name:CAMILO, IARA
Entity type:Individual
Prefix:
First Name:IARA
Middle Name:
Last Name:CAMILO
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 1:39 DUTCHER ST APT 10
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1235
Mailing Address - Country:US
Mailing Address - Phone:978-795-7541
Mailing Address - Fax:
Practice Address - Street 1:39 DUTCHER ST APT 10
Practice Address - Street 2:
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747-1235
Practice Address - Country:US
Practice Address - Phone:978-795-7541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-08
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula