Individual
MS. CHANDRA AIESHA THORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4434 HARDING AVE, LOS ANGELES, CA 90066-6123
(310) 988-8850
Mailing address
9112 S WESTERN AVE, LOS ANGELES, CA 90047-3518
(626) 394-3372
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN209080
CA
Other
Enumeration date
01/27/2019
Last updated
06/06/2020
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