CHANNEL DEVON CHISLOM
NPI 1851008718
Driver in Riverside, CA
Active since November 01, 2022
About Channel Devon Chislom NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHANNEL DEVON CHISLOM (NPI 1851008718) is an individual driver provider in Riverside, California and active in the NPI registry since November 2022.
NPPES Registry Identity
NPI1851008718
Entity TypeIndividualFemale
Primary Taxonomy172A00000X
Provider Legal NameCHANNEL DEVON CHISLOM
Location Address4193 FLAT ROCK DRRiverside, CA 92505-7111
Mailing Address4193 Flat Rock DrRiverside, CA 92505-7111 · (747) 202-9158
Phone(747) 202-9158
Sole ProprietorNo
Enumeration DateNovember 1, 2022
NPPES CertifiedNovember 1, 2022
✔ NPI 1851008718 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyDriverOther Service Providers
Taxonomy Code172A00000X
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
4193 FLAT ROCK DR, Riverside, CA 92505
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Radiologic Technologist (Sonography)
4193 FLAT ROCK DR, SUITE 200
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
Radiology (Diagnostic Ultrasound)
4193 FLAT ROCK DR, SUITE 200-212
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851008718, enumerated as an "individual" on November 01, 2022.
The provider is located at 4193 FLAT ROCK DR RIVERSIDE, CA 92505 and the phone number is (747) 202-9158.
Driver with taxonomy code 172A00000X.
