Individual
MEGAN LILLY CHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(510) 565-0718
Mailing address
2393 CASTILLEJO WAY, FREMONT, CA 94539-5105
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
04/18/2024
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