Provider Demographics
NPI:1740484385
Name:CHALONER, CHARLENE BRENDA (RN)
Entity type:Individual
Prefix:MS
First Name:CHARLENE
Middle Name:BRENDA
Last Name:CHALONER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:6149 ROCKCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1649
Mailing Address - Country:US
Mailing Address - Phone:323-467-7924
Mailing Address - Fax:323-467-0389
Practice Address - Street 1:6149 ROCKCLIFF DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1649
Practice Address - Country:US
Practice Address - Phone:323-467-7924
Practice Address - Fax:323-467-0389
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA167045163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience