Individual
CARLENE ROSE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2809
(805) 948-5011
Mailing address
2296 WESTWOOD DR, CAMARILLO, CA 93010-2139
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95067379
CA
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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