Individual
MARY FERMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 ROSEWOOD AVE, CAMARILLO, CA 93010-2838
(805) 302-7140
Mailing address
1024 ROSEWOOD AVE, CAMARILLO, CA 93010-2838
(805) 302-7140
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
026391
CA
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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