Individual
JUDITH SELFRIDGE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1300 W 7TH ST, SAN PEDRO, CA 90732-3505
(310) 514-5350
(310) 514-5421
Mailing address
3450 PACIFIC COAST HWY, VENTURA, CA 93001-9718
(805) 641-3483
(805) 641-3870
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP7106
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN262576
—
CA
Enumeration date
06/29/2006
Last updated
02/20/2008
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