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MS. DORIS S CHAN RN,FNP

Critical Care Medicine >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1912393257

Individual Registrant:
MS. DORIS S CHAN RN,FNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2516 E WILLOW ST UNIT 110  SIGNAL HILL, CA 90755-6327 US
Tel: 562-595-4011  Fax: --

Contact information for business:
2516 E WILLOW ST UNIT 110  SIGNAL HILL, CA 90755-6327 US
Tel: 562-595-4011  Fax: --

Registration Information:
NPI: 1912393257
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WC0200XNursing Service Providers
Registered Nurse
Critical Care Medicine
CARN462249
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA11387

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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