Medley, Camille Cecelia Grace

Medley, Camille Cecelia Grace is an sole proprietor health care provider with primary practice located at 11713 Star Jasmine Cir , Moreno Valley CA 92557-6027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Medley, Camille Cecelia Grace can be contacted via phone (951) 415-7379.

Contact Information

Primary practice address
11713 Star Jasmine Cir Moreno Valley CA 92557-6027
Phone: (951) 415-7379
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT 36791 California

Profile Details

NPI number 1073801908
LBN Legal business name Medley, Camille Cecelia Grace
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2011
Last updated Jul 12th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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