Individual
MRS. CHARLOTTE DOREEN MANCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4764
(559) 448-4715
Mailing address
973 N LIND AVE, CLOVIS, CA 93611-3527
(559) 299-6772
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
RN 200610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN 200610
RN LICENSE
CA
Enumeration date
01/25/2007
Last updated
07/08/2007
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