Individual
JEANINE A ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
32144 AGOURA RD, STE 106, WESTLAKE VILLAGE, CA 91361-4040
(805) 379-3376
(805) 379-3267
Mailing address
2811 N VENTURA RD, OXNARD, CA 93036-2213
(805) 983-0343
(805) 983-3285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12576
CA
Other
Enumeration date
05/20/2006
Last updated
12/03/2020
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