Individual
CHANEL CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
510 17TH ST, OAKLAND, CA 94612-1553
(510) 830-3900
Mailing address
989 WEBSTER ST APT 547, OAKLAND, CA 94607-4286
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN261089
CA
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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