Individual
MISS JOANNA LIZETH AHUMADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 513-7287
Mailing address
1722 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 513-7287
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
748070
CA
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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