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Individual

CHAZ PAUL SIANGCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
446 ALTA RD STE 6100, SAN DIEGO, CA 92158-0001
(619) 671-6528
Mailing address
684 RUE AVALLON, CHULA VISTA, CA 91913-1212
(619) 885-1571

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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