Individual
SAMANTHA ROSEMARY PRADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1065 E MAIN ST, VENTURA, CA 93001-3027
(805) 652-0029
Mailing address
1065 E MAIN ST, VENTURA, CA 93001-3027
(805) 652-0029
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-IPAYZK
CA
Other
Enumeration date
08/02/2022
Last updated
12/13/2023
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