Individual
MARLEEN AGANON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Mailing address
1756 S LEWIS RD, CAMARILLO, CA 93012-8520
(805) 383-3669
Taxonomy
Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary
—
CA
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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