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Individual

MRS. JUDITH C GERGIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
72 MOODY CT, SUITE 102, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
(805) 777-3510
Mailing address
72 MOODY CT, SUITE 102, THOUSAND OAKS, CA 91360-6067
(805) 777-3500
(805) 777-3510

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
253831
CA

Other

Enumeration date
04/16/2007
Last updated
07/08/2007
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