Provider Demographics
NPI:1538344999
Name:CHEROKEE PERSONNEL SRVICES
Entity type:Organization
Organization Name:CHEROKEE PERSONNEL SRVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN, NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:SHAWNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:210-651-0027
Mailing Address - Street 1:10242 PRINCESS SARIT WAY
Mailing Address - Street 2:
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-1277
Mailing Address - Country:US
Mailing Address - Phone:619-666-3203
Mailing Address - Fax:
Practice Address - Street 1:10242 PRINCESS SARIT WAY
Practice Address - Street 2:
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-1277
Practice Address - Country:US
Practice Address - Phone:619-666-3203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA684893286500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital