Individual
AELEEN CHARIFE BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12740 HESPERIA RD STE A, VICTORVILLE, CA 92395-8306
(760) 999-0918
Mailing address
21360 TELEGRAPH RD, RIVERSIDE, CA 92507-0053
(760) 792-7722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028577
CA
Other
Enumeration date
01/19/2024
Last updated
02/28/2024
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