Provider Demographics
NPI:1609694488
Name:WEST PUENTES, CAMI CAMILLE
Entity type:Individual
Prefix:
First Name:CAMI
Middle Name:CAMILLE
Last Name:WEST PUENTES
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 1:1616 SQUIRREL TREE PL
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4924
Mailing Address - Country:US
Mailing Address - Phone:940-733-5585
Mailing Address - Fax:
Practice Address - Street 1:1616 SQUIRREL TREE PL
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4924
Practice Address - Country:US
Practice Address - Phone:940-733-5585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator