Chanphany Charlene Gonzalez
Licensed Vocational Nurse in Fresno, CA. Individual provider (NPI-1).
NPI number1982251369
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1982251369
- Entity type
- Individual (NPI-1)
- Name
- Chanphany Charlene Gonzalez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 286912 | CA | Yes |
Other names
- Charlene Chanphany Gonzalez (Other Name)
Practice location
3741 N Feland AveFresno, CA 93722-4522
Phone 559-347-8099
Mailing address
3741 N Feland AveFresno, CA 93722-4522
Phone 559-347-8099
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