Organization
CALIFORNIA RN FIRST ASSISTANT LLC
Active
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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