Individual
CHAVONE DANTRELL MOMON-NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2 JENNIFER CT STE B, CARLISLE, PA 17015-7694
(717) 218-9830
(717) 218-9833
Mailing address
409 SOUTH SECOND STREET, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD442418
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025762400003
—
PA
Enumeration date
07/10/2010
Last updated
01/26/2021
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