Individual
BIANCA AGTARAP LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
366 AUTUMN PATH LN, SANTA PAULA, CA 93060-8018
(805) 312-3118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95094410
CA
363LF0000X
Family Nurse Practitioner
Primary
95028539
CA
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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