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Individual

MS. CENNYANA BOON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11364 HAVSTAD DR, LOMA LINDA, CA 92354-4149
(310) 467-9661
Mailing address
11364 HAVSTAD DR, LOMA LINDA, CA 92354-4149
(310) 467-9661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95024454
CA

Other

Enumeration date
06/30/2023
Last updated
06/30/2023
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