Individual
CHANEL HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
Mailing address
12816 INGLEWOOD AVE # 430, HAWTHORNE, CA 90250-5118
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
753028
CA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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