Individual
AMY MARIE STUTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
3090 CHANNEL DR APT 215, VENTURA, CA 93003-4942
(805) 628-0843
Mailing address
3090 CHANNEL DR APT 215, VENTURA, CA 93003-4942
(805) 628-0843
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN208201
CA
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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