Provider Demographics
NPI:1003706565
Name:CAMARILLO, MICHELLE ROMERO (CERTIFIED MA)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ROMERO
Last Name:CAMARILLO
Suffix:
Gender:F
Credentials:CERTIFIED MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1219 CONCORD AVE
Mailing Address - Street 2:
Mailing Address - City:MADERA
Mailing Address - State:CA
Mailing Address - Zip Code:93637
Mailing Address - Country:US
Mailing Address - Phone:559-871-4963
Mailing Address - Fax:
Practice Address - Street 1:1219 CONCORD AVE
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637
Practice Address - Country:US
Practice Address - Phone:559-871-4963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-07
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator