Individual
MRS. ESTELITA COSTALES MONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
(805) 652-5765
Mailing address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
(805) 652-5765
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT29243
CA
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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