Individual
CHETRA MECH SENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5039 ROSEWOOD ST, MONTCLAIR, CA 91763-2840
(909) 277-0742
Mailing address
5039 ROSEWOOD ST, MONTCLAIR, CA 91763-2840
(909) 277-0742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95018671
CA
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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