Provider Demographics
NPI:1497544688
Name:MOHORNE, CHANIIA LEIGH
Entity type:Individual
Prefix:
First Name:CHANIIA
Middle Name:LEIGH
Last Name:MOHORNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7806 SIERRA AVE APT 223
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-3388
Mailing Address - Country:US
Mailing Address - Phone:626-260-5762
Mailing Address - Fax:
Practice Address - Street 1:8401 COTTONWOOD AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-0243
Practice Address - Country:US
Practice Address - Phone:626-260-5762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula