Individual
EUNICE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 933-9236
Mailing address
558 E 220TH ST, CARSON, CA 90745-3254
(310) 808-7180
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95014169
CA
363LA2200X
Adult Health Nurse Practitioner
95014169
CA
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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