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NPI Code Detail

MEDICARE: DANALA CAMERON

MEDICARE: DANALA CAMERON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCA
2172V00000XCommunity Health Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F1097043OTHERCA DRIVERS LICENSE

General Provider Information

NPI Number : 1619464195
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANALA CAMERON
Provider Business Mailing Address
First Line : 2311 JOHN CT APT 3
Second Line :
City : CASTRO VALLEY
State : CA
Zip : 94546-5131
Country : US
Telephone Number : 510-269-0316
Fax Number :
Provider Business Practice Location Address
First Line : 3035 S MARYLAND PKWY STE 110
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2205
Country : US
Telephone Number : 702-857-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2018
Last Update Date : 05/06/2025

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Directions to “ DANALA CAMERON ” Practice Location

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