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Mrs. Camille Ashley Malcherczyk
Student in an Organized Health Care Education/Training Program in Ontario, California
NPI 1578973335

Camille Ashley Malcherczyk is a Student in an Organized Health Care Education/Training Program based in Ontario, CA. Camille Ashley Malcherczyk practices in Ontario, CA. The NPI Number for Camille Ashley Malcherczyk is 1578973335 and holds a License No. (California).

The current practice location address for Camille Ashley Malcherczyk is 125 W F St Ste 101, Ontario, CA and can be reached out via phone at 909-986-4550 and via fax at 909-986-4506. You can also correspond with Camille Ashley Malcherczyk through the mailing address at 125 W F ST STE 101, ONTARIO, CA - 91762-3201 (mailing address contact number: 909-986-4550).

Location: 125 W F St Ste 101, Ontario, CA, 91762-3201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578973335
Provider Name
Camille Ashley Malcherczyk
Credential
Provider Entity Type
Individual
Gender
Female
Address
125 W F St Ste 101, Ontario, CA, 91762-3201
Phone Number
909-986-4550
Fax Number
909-986-4506
Provider Enumeration Date
05/02/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01536011 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
125 W F St Ste 101
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
Fax Number
909-986-4506
person
Provider Business Mailing Address Details
Address
125 W F St Ste 101
City
Ontario
State
California
Zip
91762-3201
Phone Number
909-986-4550
Fax Number
909-986-4506
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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