Individual
CHERICE NETTLEBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 469-4714
Mailing address
631 H ST, SACRAMENTO, CA 95814-2302
(916) 469-4714
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
289266
CA
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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