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Individual

MRS. JOHNNIE DIONNE CHANDLER

Active
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Individual

MRS. JOHNNIE DIONNE CHANDLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
21609
CA
363A00000X
Physician Assistant
PA16296
TX
363A00000X
Physician Assistant
PA1830
NV
363A00000X
Physician Assistant
PA61276920
WA
363AM0700X
Medical Physician Assistant
P-T1014
AR
363AM0700X
Medical Physician Assistant
PA21609
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801105705
—
NV
01
—
P-T1014
MEDICAL LICENSE
AR
01
—
PA21609
CALIFORNIA LICENSE NUMBER
CA
Enumeration date
09/27/2010
Last updated
02/16/2023
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