Gracious Chikwale Chanda, RN
Registered Nurse, Psych/Mental Health in Rialto, CA. Individual provider (NPI-1).
NPI number1841069754
StatusActive
Last updated in NPPESDec 20, 2023
Details
- NPI
- 1841069754
- Entity type
- Individual (NPI-1)
- Name
- Gracious Chikwale Chanda
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2023
- Certification date
- Dec 20, 2023
- Last updated
- Dec 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 767102 | CA | Yes |
Practice location
850 E Foothill BlvdRialto, CA 92376-5230
Phone 909-421-9301
Mailing address
1269 Hibiscus StUpland, CA 91784-7355
Phone 559-978-8534
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All 11 Psychiatric/Mental Health Registered Nurse providers in Rialto · All 1,367 providers in Rialto
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