Individual
MR. ALPHONSO CHISLOM JR.
Active
Individual
MR. ALPHONSO CHISLOM JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.C.P.
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
00017933
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00017933
CA. STATE LICENSE
CA
Enumeration date
05/08/2008
Last updated
05/08/2008
Update your record
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