Individual
CHOLENA HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6350 CERRITOS AVE, LONG BEACH, CA 90805-2414
(562) 507-2990
Mailing address
21505 NORWALK BLVD, HAWAIIAN GARDENS, CA 90716-1121
(562) 916-7581
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN713147
CA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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