Individual
CHARLEY ANNE CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1090 E CYPRESS AVE STE B, REDDING, CA 96002-1163
(530) 223-2332
(530) 223-4721
Mailing address
1090 E CYPRESS AVE STE B, REDDING, CA 96002-1163
(530) 223-2332
(530) 223-4721
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
682836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37728
—
CA
Enumeration date
04/22/2021
Last updated
04/22/2021
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