Individual
CAROLINE CHANTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-4455
Mailing address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-4455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G60694
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G606940
MEDICAL NUMBER
CA
Enumeration date
11/28/2005
Last updated
11/30/2011
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