CHRISTAL LA SHAWN FENNELL

RANCHO CUCAMONGA, CA
NPI1568687275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164X00000X Licensed Vocational Nurse
(Licence: CA  vn220919)
Enumeration Date2007-04-16
Last Update Date2007-07-08
Business Address
-- CHRISTAL LA SHAWN FENNELL LVN
10935 TERRA VISTA PKWY APT 83
RANCHO CUCAMONGA, CA 91730-6348
Phone number: 909-484-3968
Mailing Address
-- CHRISTAL LA SHAWN FENNELL LVN
10935 TERRA VISTA PKWY APT 83
RANCHO CUCAMONGA, CA 91730-6348
Phone number: 909-484-3968