Individual
CHERIE PENA GRAJEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4495 SLICE AVE, PERRIS, CA 92571-5182
(951) 990-5626
Mailing address
4495 SLICE AVE, PERRIS, CA 92571
(951) 990-5626
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
693107
CA
Other
Enumeration date
02/01/2020
Last updated
02/03/2025
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