Individual
CHARIT MSAMALIA CHIMWALA SELICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
39874 GOLFERS DR, PALMDALE, CA 93551-2982
(912) 224-0113
Mailing address
39874 GOLFERS DR, PALMDALE, CA 93551-2982
(912) 224-0113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
797096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
823356987
—
CA
Enumeration date
09/19/2018
Last updated
04/30/2024
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