Individual
DEANA FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 SOUTH SEAWARD AVE. A, VENTURA, CA 93001
(805) 415-0907
Mailing address
1100 SOUTH SEAWARD AVE. A, VENTURA, CA 93001
(805) 415-0907
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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