Individual
CASILDA CABRAL CHENIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-0121
Mailing address
1811 CHARLTON CT, GOSHEN, IN 46526-6464
(574) 534-0121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
99088082A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1084290
NCCPA INDENTIFICATION NUMBER
IN
Enumeration date
07/24/2009
Last updated
07/24/2009
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