Most Relevant Information
Provider Data
| NPI Number: | 1003449877 |
| Provider Name: | AMELIA GUADALUPE NUNO |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2020 |
| Last Updated: | 10/07/2021 |
Provider Practice Location
1722 S LEWIS RD
CAMARILLO
CA
930128520
Practice Location Phone/Fax
| Phone: | 8053664040 |
| Fax: |
Provider Mailing Location
1722 S LEWIS RD
CAMARILLO
CA
930128520
Provider Mailing Phone/Fax
| Phone: | 8053664040 |
| Fax: |