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NPI Code Detail

MEDICARE: CHENEQUA ROBIN DANGERFIELD

MEDICARE: CHENEQUA ROBIN DANGERFIELD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorCA

General Provider Information

NPI Number : 1790078772
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHENEQUA ROBIN DANGERFIELD
Provider Business Mailing Address
First Line : 4590 ALLSTATE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1702
Country : US
Telephone Number : 909-599-1227
Fax Number :
Provider Business Practice Location Address
First Line : 4590 ALLSTATE DR
Second Line :
City : RIVERSIDE
State : CA
Zip : 92501-1702
Country : US
Telephone Number : 909-599-1227
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2011
Last Update Date : 06/28/2023

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Directions to “ CHENEQUA ROBIN DANGERFIELD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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