Individual
MRS. JODIE DEANNA REISBORD-ROJANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6656
Mailing address
3291 LOMA VISTA RD, VENTURA, CA 93003-3099
(805) 652-6656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A71549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71549
STATE MEDICAL LICENSE
CA
Enumeration date
04/11/2008
Last updated
06/30/2009
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