Individual
MS. DIANA R. PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4258 TELEGRAPH RD, VENTURA, CA 93003-3706
(805) 477-5700
(805) 644-5882
Mailing address
4258 TELEGRAPH RD, VENTURA, CA 93003-3706
(805) 477-5700
(805) 644-5882
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
PT24658
CA
167G00000X
Licensed Psychiatric Technician
Primary
PT26458
CA
Other
Enumeration date
10/02/2012
Last updated
04/24/2015
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