Individual
MR. DENNIS CHANDLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3929 LA MESA AVE, SHASTA LAKE, CA 96019-9210
(530) 510-2448
Mailing address
3929 LA MESA AVE, SHASTA LAKE, CA 96019-9210
(530) 510-2448
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/17/2026
Last updated
06/17/2026
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