Individual
REGINE CHACHOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
450 BYBERRY RD, TH17, PHILADELPHIA, PA 19116-4024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14637900
NJ
163W00000X
Registered Nurse
Primary
RN611005
PA
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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