Individual
TARA JOY URENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYCHIATRIC TECH
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
Mailing address
200 HILLMONT AVE, VENTURA, CA 93003-1647
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT28641
CA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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