Provider Demographics
NPI:1174315667
Name:CAMERO, JULIAN
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:CAMERO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 N VAN DORN ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-2721
Mailing Address - Country:US
Mailing Address - Phone:703-969-8378
Mailing Address - Fax:
Practice Address - Street 1:7011A MANCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:FRANCONIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3202
Practice Address - Country:US
Practice Address - Phone:703-879-3564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2101002835237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist