Individual
HAROLD JOSEPH CHASTAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8898
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8898
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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