Individual
CHERRY PATRICIA THANGARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7965 SIERRA AVE, FONTANA, CA 92336-3329
(909) 356-4459
Mailing address
240 HASTINGS ST, REDLANDS, CA 92373-5013
(909) 841-7810
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F08210811
CA
Other
Enumeration date
09/02/2021
Last updated
09/30/2021
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