Individual
CAROLYN GISELE CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
417 W SPRUCE ST, PERKASIE, PA 18944-1865
(267) 810-5909
Mailing address
417 W SPRUCE ST, PERKASIE, PA 18944-1865
(267) 810-5909
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004066
PA
Other
Enumeration date
09/05/2023
Last updated
09/12/2023
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