Individual
MISS CHUN TIEN SHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
980 E FOOTHILL BLVD STE 101, UPLAND, CA 91786-4068
(909) 981-6211
Mailing address
6879 MOONFLOWER DR, EASTVALE, CA 92880-3846
(909) 996-5097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95012526
CA
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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