Individual
MISS LEATRICE ANNE CARDONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2501 HALL CANYON RD, VENTURA, CA 93001-2415
(805) 648-5812
Mailing address
2501 HALL CANYON RD, VENTURA, CA 93001-2415
(805) 648-5812
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OTA49
CA
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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