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Individual

CHELSEA RAE GARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
23181 VERDUGO DR, LAGUNA HILLS, CA 92653-1357
(949) 366-1053
Mailing address
1526 CORTE CABALLO, UPLAND, CA 91786-5163
(951) 833-0214

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95009846
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95009846
NURSE PRACTITIONER LICENSE
CA
Enumeration date
08/31/2018
Last updated
08/31/2018
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