Individual
MRS. CHARLETTA YVONNE BALDWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-4099
(559) 600-9135
Mailing address
4441 E KINGS CANYON RD, FRESNO, CA 93702-3604
(559) 600-4099
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
162331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447311212
—
CA
Enumeration date
12/13/2006
Last updated
06/21/2019
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