Individual
MRS. CHERI MARLENE IMOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
519 W TAYLOR ST SPC 364A, SANTA MARIA, CA 93458-1029
(805) 361-0288
Mailing address
519 W TAYLOR ST SPC 364A, SANTA MARIA, CA 93458-1029
(805) 361-0288
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN43117
CA
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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