Individual
CHERYLL LICERA NEWILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
47915 OASIS ST, INDIO, CA 92201-6950
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN242901
CA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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