Individual
CHELSEA CONVISSAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
67 ROUTE 37 W STE 200B, TOMS RIVER, NJ 08755-6400
(732) 818-3811
Mailing address
1658 KITCHENER DR, SUNNYVALE, CA 94087-4131
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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