Individual
CHANEL DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 PICO BLVD, SANTA MONICA, CA 90405-1326
(310) 314-6200
Mailing address
PO BOX 66211, HOUSTON, TX 77266-6211
(832) 368-6014
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
349587
TX
164X00000X
Licensed Vocational Nurse
Primary
720574
CA
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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