Pen, Chanthol

Pen, Chanthol is an individual health care provider with primary practice located at 822 East Avenue K , Lancaster CA 93535-5938. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pen, Chanthol can be contacted via phone (661) 579-9760.

Contact Information

Primary practice address
822 East Avenue K Lancaster CA 93535-5938
Phone: (661) 579-9760
Fax: (661) 579-9765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9232475 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20656 California

Profile Details

NPI number 1649509134
LBN Legal business name Pen, Chanthol
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2009
Last updated Aug 28th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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