MEDICARE: CAMILA MARIE CESTERO

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1699611897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMILA MARIE CESTERO

Provider Business Mailing Address
First Line	:	309 JACKSON STREET ST. FRANCIS MEDICAL CENTER
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-1901
Country	:	US
Telephone Number	:	318-966-7172
Fax Number	:	318-966-8788

Provider Business Practice Location Address
First Line	:	309 JACKSON STREET ST. FRANCIS MEDICAL CENTER
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-1901
Country	:	US
Telephone Number	:	318-966-7172
Fax Number	:	318-966-8788

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ CAMILA MARIE CESTERO ” Practice Location

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