Individual
MS. CHARISSE ANN DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
83-912 AVENUE 45, SUITE 8, INDIO, CA 92201-3338
(760) 347-0494
Mailing address
2140 MENTONE BLVD, SP 79, MENTONE, CA 92359-9703
(909) 794-3469
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 195828
CA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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