Individual
ANGELIQUE DORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6218
Mailing address
615 E HARVARD BLVD APT 201, SANTA PAULA, CA 93060-3871
(805) 758-8122
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
95054175
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95021089
CA
Other
Enumeration date
08/10/2022
Last updated
11/03/2023
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