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Individual

DR. CHAUNDA CLARISHA CELENTANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C, CPNP-PC

Contact information

Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-5698
(619) 594-4325
Mailing address
831 POMONA AVE, CORONADO, CA 92118-2339
(310) 913-9583

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
218659
LA
207Q00000X
Family Medicine Physician
Primary
95015487
CA

Other

Enumeration date
01/18/2022
Last updated
02/03/2023
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