Individual
ALEXANDER CHINCHILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LIBERTY LN, DAYTON, OH 45449-2135
(937) 461-0034
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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