Most Relevant Information
Provider Data
NPI Number: | 1003484957 |
Provider Name: | JONATHAN LEE CAMERON DNP, CRNA |
Entity Type: | Individual |
Taxonomy Code: | 163WC0200X |
Specialty: | Registered Nurse |
License Number: | 973672 |
Most Important Dates
Enumeration Date: | 06/16/2021 |
Last Updated: | 07/28/2021 |
Provider Practice Location
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA
WA
984315060
Practice Location Phone/Fax
Phone: | 2539682252 |
Fax: |
Provider Mailing Location
3085 MCNEIL ST
DUPONT
WA
983278779
Provider Mailing Phone/Fax
Phone: | 2108425853 |
Fax: |