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LUKE JAMES CAMARILLO

>> Clinical Nurse Specialist >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1306266655

Individual Registrant:
 LUKE JAMES CAMARILLO 
Gender: M
Sole Proprietor

Location and contact information for practice:
1001 SNEATH LN STE 307  SAN BRUNO, CA 94066-2349 US
Tel: 650-922-4578  Fax: 650-244-1447

Contact information for business:
1001 SNEATH LN STE 307  SAN BRUNO, CA 94066-2349 US
Tel: 650-922-4578  Fax: 650-244-1447

Registration Information:
NPI: 1306266655
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N364S00000XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
CA823814
Y163W00000XNursing Service Providers
Registered Nurse
CA823814

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
THE LATINO COMMISSION ADMINISTRATION38472CA01




HEALTH CARE JOBS CA - Page 1



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