Individual
CHARLENA RENEE DELEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6893 KERN DR, RIVERSIDE, CA 92509-6324
(951) 334-6296
Mailing address
6893 KERN DR, RIVERSIDE, CA 92509-6324
(951) 334-6296
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
242712
CA
Other
Enumeration date
10/10/2011
Last updated
10/10/2011
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