Individual
KATTYA CHACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 GARBON DRIVE, SUMMERVILLE, SC 29485
(305) 993-8285
Mailing address
114 GARBON DRIVE, SUMMERVILLE, SC 29485
(305) 993-8285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9496789
FL
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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