Provider Demographics
NPI:1194566414
Name:CAMEJO, JULIANA DEL VALLE (PA)
Entity type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:DEL VALLE
Last Name:CAMEJO
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:5454 NEWCASTLE ST APT 1104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-2260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:515 W BUCKEYE RD STE 104
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85003-3699
Practice Address - Country:US
Practice Address - Phone:602-257-8280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ10401363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant