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Individual

MR. CHARLES K NGETHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2883 PANSY WAY, SAN JACINTO, CA 92582
(949) 394-1933
Mailing address
2883 PANSY WAY, SAN JACINTO, CA 92582-3742
(949) 394-1933

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 247594
CA

Other

Enumeration date
11/06/2011
Last updated
09/29/2018
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