Individual
REYNALDO CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 HILLMONT AVENUE, VENTURA, CA 93033
(180) 565-2755
Mailing address
200 HILLMONT AVE., VENTURA, CA 93033
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
810578
CA
Other
Enumeration date
12/22/2015
Last updated
12/22/2015
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