Angel Chandra
Licensed Vocational Nurse in Eureka, CA. Individual provider (NPI-1).
NPI number1639618465
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1639618465
- Entity type
- Individual (NPI-1)
- Name
- Angel Chandra
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2017
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | PN687860 | CA | Yes |
Practice location
720 Wood StEureka, CA 95501-4413
Phone 707-268-2990
Mailing address
1825 Lifetime DrModesto, CA 95355-2665
Phone 209-541-8722
Other practice locations
1825 Lifetime Dr
Modesto, CA 95355-2665
Modesto, CA 95355-2665
Phone 209-541-8722
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All 63 Licensed Vocational Nurse providers in Eureka · All 3,243 providers in Eureka
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