Individual
CHANDRA BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
14113 EZRA LN, POWAY, CA 92064-3018
(858) 229-2547
Mailing address
14113 EZRA LN, POWAY, CA 92064-3018
(858) 229-2547
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
709835
CA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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