Individual
ELIZABETH SERRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W HILLCREST DR, THOUSAND OAKS, CA 91320-2734
(805) 963-2445
Mailing address
12101 COVENTRY WAY UNIT 307, TUSTIN, CA 92782-2762
(714) 653-3600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95009976
CA
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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