Individual
JOHN PERKINS CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
250 BON AIR RD, UNIT B, GREENBRAE, CA 94904-1702
(415) 473-6771
Mailing address
250 BON AIR RD, UNIT B, GREENBRAE, CA 94904-1702
(415) 473-6771
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
845752
CA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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