Individual
CHERYL DE VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16260 VENTURA BLVD, #600, ENCINO, CA 91436-2203
(818) 986-1977
(818) 986-4752
Mailing address
3344 COMMUNITY AVE, LA CRESCENTA, CA 91214-2554
(818) 357-1992
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA 180
CA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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