Individual
LYNN CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12150 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2460
Mailing address
PO BOX 2031, JACKSON, CA 95642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
16072
CA
Other
Enumeration date
07/25/2008
Last updated
07/25/2008
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