Individual
CHANTELLE ILORETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4135 S POWER RD STE 113, MESA, AZ 85212-3625
(480) 626-2444
(480) 409-2987
Mailing address
PO BOX 88747, MILWAUKEE, WI 53288-8747
(480) 945-6777
(833) 473-4947
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10243
AZ
Other
Enumeration date
11/01/2022
Last updated
03/01/2024
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