Most Relevant Information
Provider Data
NPI Number: | 1003429028 |
Provider Name: | DIANA ARACELY CAMACHO |
Entity Type: | Individual |
Taxonomy Code: | 101YA0400X |
Specialty: | Counselor |
License Number: | P-1811 |
Most Important Dates
Enumeration Date: | 08/28/2020 |
Last Updated: | 08/28/2020 |
Provider Practice Location
200 N 34TH ST
NORFOLK
NE
687013197
Practice Location Phone/Fax
Phone: | 4023713044 |
Fax: |
Provider Mailing Location
PO BOX 2315
NORFOLK
NE
687022315
Provider Mailing Phone/Fax
Phone: | 4023713044 |
Fax: |