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Individual

LISA MICHELLE CHERQAOUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1855 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 398-6300
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
(626) 398-6300

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
950339407
CA

Other

Enumeration date
06/07/2018
Last updated
06/07/2018
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