Individual
DUSTIN WIDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2500
Mailing address
4744-3 TELEPHONE RD. BOX 230, VENTURA, CA 93003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95002226
CA
Other
Enumeration date
11/06/2023
Last updated
11/07/2023
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