Individual
CHERRY ANNE FONTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, PHN
Contact information
Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7788
Mailing address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7788
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
558635
CA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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