(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003527151
Provider Name: CAMILLE HERMOSILLO
Entity Type: Individual
Taxonomy Code: 106S00000X
Specialty: Behavior Technician
License Number:
Most Important Dates
Enumeration Date: 12/09/2022
Last Updated: 12/09/2022
Provider Practice Location
4232 N WATERFORD PL
BOISE
ID
837033490
Practice Location Phone/Fax
Phone: 2088712102
Fax:
Provider Mailing Location
4232 N WATERFORD PL
BOISE
ID
837033490
Provider Mailing Phone/Fax
Phone: 2088712102
Fax: