Kristine Chandler, LVN
Licensed Vocational Nurse in Ridgecrest, CA. Individual provider (NPI-1).
NPI number1104418243
StatusActive
Last updated in NPPESFeb 10, 2021
Details
- NPI
- 1104418243
- Entity type
- Individual (NPI-1)
- Name
- Kristine Chandler
- Credential
- LVN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 10, 2021
- Certification date
- Feb 10, 2021
- Last updated
- Feb 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 709136 | CA | Yes |
Practice location
1111 W Inyokern Rd Ste BRidgecrest, CA 93555-2370
Phone 760-301-6945
Mailing address
1111 W Inyokern Rd Ste BRidgecrest, CA 93555-2370
Phone 760-301-6945
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