Individual
KIM HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5700 RALSTON ST STE 312, VENTURA, CA 93003-7868
(805) 642-7033
(805) 642-1629
Mailing address
670 SARATOGA AVE, VENTURA, CA 93003-0417
(805) 642-7033
(805) 642-1629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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