Individual
MISS BRANDICE ELVIRA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE
Contact information
Practice address
855 JACKSON ST, RED BLUFF, CA 96080-3260
(530) 561-0857
Mailing address
855 JACKSON ST, RED BLUFF, CA 96080-3260
(530) 561-0857
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
682330
CA
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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