Provider Demographics
NPI:1306549118
Name:HO, CAMILLE EUGENIE DE JESUS (MD)
Entity type:Individual
Prefix:DR
First Name:CAMILLE EUGENIE
Middle Name:DE JESUS
Last Name:HO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAMILLE
Other - Middle Name:DE JESUS
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1701 W CHARLESTON BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2312
Mailing Address - Country:US
Mailing Address - Phone:702-671-2345
Mailing Address - Fax:
Practice Address - Street 1:1701 W CHARLESTON BLVD STE 230
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2312
Practice Address - Country:US
Practice Address - Phone:702-671-2345
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program