Individual
MRS. CHARLETTE JEVON WITHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9961 SIERRA AVE, FONTANA, CA 92335-6720
(909) 457-5000
Mailing address
13255 EARLY CRIMSON ST, EASTVALE, CA 92880-3117
(951) 314-4879
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
235902
CA
Other
Enumeration date
09/01/2017
Last updated
12/06/2021
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