AZADEH ELLSWORTH

VENTURA, CA
NPI1730747239
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA  95011907)
Enumeration Date2019-05-31
Last Update Date2019-08-27
Business Address
AZADEH ELLSWORTH PMHNP
1752 S VICTORIA AVE STE 250
VENTURA, CA 93003
Phone number: 805-650-3880
Mailing Address
AZADEH ELLSWORTH PMHNP
1752 S VICTORIA AVE STE 250
VENTURA, CA 93003-6152
Phone number:
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