Individual
MIRANDA NAISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HILLMONT AVE, VENTURA, CA 93003-1647
(805) 652-6729
Mailing address
1149 CYPRESS POINT LN APT 207, VENTURA, CA 93003-6073
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95077562
CA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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