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1588027932
JANET CHAIDEZ
VENICE, CA
NPI
1588027932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003882)
Enumeration Date
2016-04-03
Last Update Date
2021-03-17
Business Address
JANET CHAIDEZ
604 ROSE AVE
VENICE, CA 90291
Phone number: 310-392-8636
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Mailing Address
JANET CHAIDEZ
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636
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