Individual
ANDRALETA CHARBONNET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
(951) 543-9645
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
(951) 543-9645
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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