Individual
ELAINE MCFADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003
(805) 652-6729
Mailing address
200 HILLMONT AVE, VENTURA, CA 93003
(805) 652-6729
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95047615
CA
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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