Individual
CHARNIKKA LASHRAY BRICE-BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1313 CUTTING BLVD, RICHMOND, CA 94804-2554
(510) 232-0874
Mailing address
1313 CUTTING BLVD, RICHMOND, CA 94804-2554
(510) 232-0874
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
701548
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701548
BOARD OF PSYCHIATRIC AND VOCATIONAL NURSING
CA
Enumeration date
04/22/2021
Last updated
04/22/2021
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