Individual
VICTORIA SUSAN CHIDBOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1798 N GAREY AVE, POMONA, CA 91767-2918
(909) 865-9500
Mailing address
1009 GUINEA DR, WHITTIER, CA 90601-1224
(626) 428-1511
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
95099204
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XELT50473968
BLUE OF CALIFORNIA
CA
Enumeration date
08/20/2017
Last updated
08/20/2017
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