Individual
DIANA RAE PEINADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4258 TELEGRAPH RD, VENTURA, CA 93003-3706
(805) 477-5700
Mailing address
352 OMAHA CT, VENTURA, CA 93001-1228
(805) 901-2340
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00663168
CA
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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