Camilla Medina
Camilla Medina is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Dallas, Texas. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1315 Amos StDallas, TX 75212-5202
Phone: (214) 773-2879
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1295246916 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2017 |
| Last updated in NPPES | October 20, 2017 |
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