Provider Demographics
NPI:1518354281
Name:ASKEW, CHARLES II (LVN)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:ASKEW
Suffix:II
Gender:M
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1068 S. 7TH. AVE. #91
Mailing Address - Street 2:
Mailing Address - City:AVENAL
Mailing Address - State:CA
Mailing Address - Zip Code:93204
Mailing Address - Country:US
Mailing Address - Phone:408-655-4387
Mailing Address - Fax:
Practice Address - Street 1:1068 S 7TH AVE APT 91
Practice Address - Street 2:
Practice Address - City:AVENAL
Practice Address - State:CA
Practice Address - Zip Code:93204-1779
Practice Address - Country:US
Practice Address - Phone:408-998-9854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA242105164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse