Provider Demographics
NPI:1962196097
Name:CURTIS-CONTRERAS, CAMILA
Entity type:Individual
Prefix:
First Name:CAMILA
Middle Name:
Last Name:CURTIS-CONTRERAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6108 MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-1632
Mailing Address - Country:US
Mailing Address - Phone:510-333-2941
Mailing Address - Fax:
Practice Address - Street 1:1404 FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3208
Practice Address - Country:US
Practice Address - Phone:510-333-2941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95098313163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse