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Individual

ELMIRA MIRA SHISHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6000
Mailing address
200 S WELLS RD, SUITE 200, VENTURA, CA 93004-1377
(805) 659-1740
(805) 659-9959

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19995
CA

Other

Enumeration date
11/12/2008
Last updated
03/12/2025
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