Individual
CHERI VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15355 BROOKHURST ST STE 102, WESTMINSTER, CA 92683-7071
(714) 531-2220
Mailing address
10889 GOLDENEYE AVE, FOUNTAIN VALLEY, CA 92708-6011
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95011801
CA
Other
Enumeration date
05/20/2019
Last updated
01/13/2023
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