Individual
CONNIE MARIE HERBST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-5423
Mailing address
30412 SANDTRAP DR, AGOURA HILLS, CA 91301-1429
(818) 851-9330
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
645392
CA
Other
Enumeration date
05/26/2010
Last updated
06/08/2010
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