Individual
JACQUELINE LEE CHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
470 N VILLA CT, #206, PALM SPRINGS, CA 92262-0669
(401) 368-2588
Mailing address
10 FENNER ST, CRANSTON, RI 02910
(401) 368-2588
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3512
CA
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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