Individual
CHANBRAY GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
1477 S MANCHESTER AVE, ANAHEIM, CA 92802-2905
(714) 782-1700
Mailing address
2475 MOON DUST DR, CHINO HILLS, CA 91709-4330
(909) 521-8109
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
95190928
CA
363LF0000X
Family Nurse Practitioner
Primary
95033083
CA
Other
Enumeration date
11/18/2024
Last updated
12/12/2024
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