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Individual

RONDA BROOKE UHLES-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
2001 SOLAR DR, SUITE 215, OXNARD, CA 93036-2645
(805) 604-1924
(805) 604-0176
Mailing address
2001 SOLAR DR, SUITE 215, OXNARD, CA 93036-2645
(805) 604-1924
(805) 604-0176

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT 1814
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OT0018140
BLUE SHIELD
CA
Enumeration date
06/29/2006
Last updated
07/08/2007
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