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Chante Park

NPI 1477128064 · on the registry since 2021

Practice

Address
1180 Third Ave
Chula Vista, CA 91911
Phone
(619) 691-8164
Clinicians at this address
41

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California