Individual
CONNIE CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 BRIDGEGATE DR, DIAMOND BAR, CA 91765-3912
(626) 388-2390
Mailing address
18662 VANTAGE POINTE DR, ROWLAND HEIGHTS, CA 91748-5174
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95008251
CA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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