Individual
TERESITA ESPERANZA PINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2220 E GONZALES RD STE 102, OXNARD, CA 93036-8293
(805) 981-5115
(805) 981-5184
Mailing address
2220 E GONZALES RD STE 102, OXNARD, CA 93036-8293
(805) 981-5115
(805) 981-5184
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
653057
CA
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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