Individual
CHANTRA CHAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N., N.P., A.C.N.P.
Contact information
Practice address
505 PARNASSUS AVE, ROOM M344, SAN FRANCISCO, CA 94143-2204
(415) 353-1262
Mailing address
29467 TAYLOR AVE, HAYWARD, CA 94544
(510) 589-7351
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16891
CA
Other
Enumeration date
10/26/2011
Last updated
11/08/2011
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