Individual
MRS. DEANNA MARIE MARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3825 SUNSET LN, OXNARD, CA 93035-4135
(805) 814-3559
Mailing address
3825 SUNSET LN, OXNARD, CA 93035-4135
(805) 814-3559
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
236404
CA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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