Individual
MS. JESSELLE GRACE LAGAO CARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2854
(805) 948-5011
Mailing address
729 NAVITO WAY, OXNARD, CA 93030-2583
(805) 824-1022
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95144687
CA
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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