Individual
MRS. CHANTALLE D RAHAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1025 GARNER FIELD RD, UVALDE, TX 78801-4809
(830) 278-6251
Mailing address
601 CENIZO BLVD, UVALDE, TX 78801-4008
(830) 486-0596
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
536878
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132821310
—
TX
01
—
83642U
BCBSTX
TX
Enumeration date
11/28/2005
Last updated
10/26/2007
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