Individual
CLAUDIA GRANDE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 LAUREL AVE, MANHATTAN BEACH, CA 90266-2316
(310) 795-8807
Mailing address
822 N NANTES AVE, LA PUENTE, CA 91744-2700
(323) 541-7967
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95033669
CA
363L00000X
Nurse Practitioner
Primary
95020039
CA
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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