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Individual

CHARLEY HEMMINGS RENNIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1720 BLUE JAY CT, PLUMAS LAKE, CA 95961-4478
(310) 438-8893
Mailing address
1720 BLUE JAY CT, PLUMAS LAKE, CA 95961-4478
(310) 438-8893

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95039507
CA

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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