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Organization

CALIFORNIA RN FIRST ASSISTANT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSAN RONEY HIBBERD NP (MANAGER)
(805) 766-3505
Entity
Organization

Contact information

Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 766-3505
(480) 545-2673
Mailing address
1290 SUNNYCREST AVE, VENTURA, CA 93003-1213
(805) 766-3505
(480) 545-2673

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
544146
CA
363LW0102X
Women's Health Nurse Practitioner
Primary
95000716
CA

Other

Enumeration date
04/19/2017
Last updated
04/19/2017
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