Individual
JEFFER CHERENGETI KIPROTCIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2721 SANBORN AVE, LA CRESCENTA, CA 91214-2920
(626) 354-1798
Mailing address
2721 SANBORN AVE, LA CRESCENTA, CA 91214-2920
(626) 689-3362
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN95201800
CA
Other
Enumeration date
07/04/2021
Last updated
11/03/2025
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