Individual
SUSAN PETRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
54728 EL PRADO TRL, YUCCA VALLEY, CA 92284-2316
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
CA489246
CA
Other
Enumeration date
05/29/2007
Last updated
07/08/2007
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