Individual
KANOA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-3280
Mailing address
4569 LA TUNA CT, CAMARILLO, CA 93012-4034
(818) 300-5340
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW123258
CA
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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