Individual
MYEISHA SHONNEE PICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
(909) 203-7693
Mailing address
14677 MERRILL AVE, FONTANA, CA 92335-4219
(951) 643-2340
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
VN240689
CA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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