Charles Park Burchette

NPI 1568754869 - Registered Nurse - 163WS0200X

NPI Details
NPI 1568754869
Gender Male
Enumeration Date 05/05/2011
Last Updated 05/05/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
5820 YOLANDA AVE APT 8
TARZANA CA, 91356-1450, US
Phone (818) 404-8336
Fax
Business Location
5820 YOLANDA AVE APT 8
TARZANA CA, 91356-1450, US
Phone (818) 404-8336
Fax
Toxanomy
Taxonomy Code 163WS0200X
License State California
License Number 716149
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According to our database, Charles Park Burchette NPI is 1568754869, taxonomy code is 163WS0200X and license number is 716149, license state is located at California. Charles Park Burchette physically located at 5820 Yolanda Ave Apt 8, Tarzana CA, 91356-1450. NPI Number Charles Park Burchette has the Individual type.

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1568754869 NPI number is provided on an as is basis without warranty of any kind. 1568754869 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Park Burchette are for informational purposes only.