Individual
GRICET RENTERIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1911 WILLIAMS DR STE 210, OXNARD, CA 93036-2612
(805) 981-9204
Mailing address
1911 WILLIAMS DR, OXNARD, CA 93036-2612
(805) 981-9204
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
10/31/2023
Last updated
06/23/2025
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