Individual
MRS. CHARLETTE MARIE POUNCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
1628 BROADWAY ST STE B, VALLEJO, CA 94590-2405
(707) 649-8300
(707) 649-8200
Mailing address
2071 GORDON VERNER CIR, STOCKTON, CA 95206-6116
(510) 253-3791
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN189583
CA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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