ELMIRA MIRA SHISHIM

VENTURA, CA
NPI1174777536
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA19995)
Enumeration Date2008-11-12
Last Update Date2013-03-21
Business Address
-- ELMIRA MIRA SHISHIM PA
200 S WELLS RD SUITE 200
VENTURA, CA 93004-1377
Phone number: 805-659-1740
Mailing Address
-- ELMIRA MIRA SHISHIM PA
200 S WELLS RD SUITE 200
VENTURA, CA 93004-1377
Phone number: 805-659-1740