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Susana Camacho
Family Nurse Practitioner in Modesto, California
NPI 1043837479

Susana Camacho is a Family Nurse Practitioner based in Merced, CA and is specialized in Family. Susana Camacho practices in Modesto, CA. The NPI Number for Susana Camacho is 1043837479 and holds a License No. 95014376 (California).

The current practice location address for Susana Camacho is 3320 Tully Rd, Modesto, CA and can be reached out via phone at 209-550-5200.

Location: 3320 Tully Rd, Modesto, CA, 95340-0978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043837479
Provider Name
Susana Camacho
Credential
Provider Entity Type
Individual
Gender
Female
Address
3320 Tully Rd, Modesto, CA, 95340-0978
Phone Number
209-550-5200
Fax Number
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3320 Tully Rd
City
Modesto
State
California
Zip
95350-0800
Phone Number
209-550-5200
Fax Number
person
Provider Business Mailing Address Details
Address
3320 Tully Rd
City
Modesto
State
California
Zip
95350-0800
Phone Number
209-550-5200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95014376 (California)
Definition
Definition to come...
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