Individual
DANIELLE R CHISM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
2373 G RD STE 240, GRAND JUNCTION, CO 81505
(970) 243-7908
(970) 245-0656
Mailing address
750 WELLINGTON AVE, SUITE 3C, GRAND JUNCTION, CO 81501-6132
(970) 243-7908
(970) 245-0656
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
87994
CO
Other
Enumeration date
08/31/2006
Last updated
06/28/2018
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