Individual
CHARNNAI ANTIONETTE TEKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ADN
Contact information
Practice address
16008 JAMIE LN UNIT 3, FONTANA, CA 92336-6166
(909) 961-4835
Mailing address
16008 JAMIE LN UNIT 3, FONTANA, CA 92336-6166
(909) 961-4835
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95277821
CA
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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