Individual
MRS. IRENE DE LA CRUZ MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
3585 MAPLE ST, STE 258, VENTURA, CA 93003-3504
(805) 644-0656
(805) 649-5061
Mailing address
3585 MAPLE ST, STE 258, VENTURA, CA 93003-3504
(805) 644-0656
(805) 649-5061
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PA16831
CA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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