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Individual

MS. VANESSA BRYANNE KAMCHAMNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HCA

Contact information

Practice address
1162 E 19TH ST UNIT 1120, UPLAND, CA 91784-4229
(619) 602-0045
Mailing address
6583 MESADA ST, RANCHO CUCAMONGA, CA 91737-4313
(714) 463-0865

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
07/06/2023
Last updated
07/06/2023
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