Custodio, Camia

Custodio, Camia is an sole proprietor health care provider with primary practice located at 301 S 4Th St , San Jose IL 62682-9527. She recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as her primary health care specialty. Custodio, Camia can be contacted via phone (309) 247-1203.

Contact Information

Primary practice address
301 S 4Th St San Jose IL 62682-9527
Phone: (309) 247-1203
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1730520644
LBN Legal business name Custodio, Camia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2013
Last updated Jul 9th, 2013 - 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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