Individual
JOSEPH CANCHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1775 CHESTNUT AVE, LONG BEACH, CA 90813-1674
(562) 599-8444
Mailing address
5509 REPETTO AVE, LOS ANGELES, CA 90022-2714
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN95268219
CA
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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