Individual
CHELSIE TONI BUENVIAJE GHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
987 PARALLEL DR, LAKEPORT, CA 95453-5701
(707) 262-5088
Mailing address
33458 WHIMBREL RD, FREMONT, CA 94555-1338
(510) 579-6667
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028071
CA
Other
Enumeration date
05/20/2024
Last updated
06/01/2024
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