Individual
CHERONNA SHAUNTE' MORON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 OCEAN FRONT WALK, VENICE, CA 90291-2403
(310) 392-3070
(310) 392-0823
Mailing address
213 1/2 E 84TH PL, LOS ANGELES, CA 90003-3027
(267) 270-9018
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN212640
CA
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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