Individual
JUDY MARLENE JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4333 E VINEYARD AVE, OXNARD, CA 93036-1013
(805) 981-5576
(805) 981-5674
Mailing address
21 CHRISTINA AVE, CAMARILLO, CA 93012-8101
(805) 389-1019
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT24842
CA
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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