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Individual

MS. JILL CATHLEEN CHARNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LVN

Contact information

Practice address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100
(626) 798-2863
Mailing address
2933 EL NIDO DR, ALTADENA, CA 91001-4529
(626) 395-7100
(626) 798-2863

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 194387
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C009660
STAFF CODE
CA
Enumeration date
03/09/2007
Last updated
07/08/2007
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