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Individual
CHESTER G PROFETA
Active
Individual
CHESTER G PROFETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, MSN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
846065
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704420286
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
846065
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95030535
CA
Other
Enumeration date
05/29/2023
Last updated
07/07/2026
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