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Individual

ANISA CHU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9640 MILLIKEN AVE STE 103, RANCHO CUCAMONGA, CA 91730-9001
(626) 548-9775
Mailing address
2016 S BALDWIN AVE, ARCADIA, CA 91007-8155

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014319
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95014319
BRN - NP LICENSE
CA
Enumeration date
06/21/2021
Last updated
06/21/2021
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