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Individual

CHASE VIERRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
212 CARMEN LN, 201, SANTA MARIA, CA 93458-7769
(805) 937-2826
Mailing address
212 CARMEN LN, 201, SANTA MARIA, CA 93458-7769
(805) 937-2826

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689762486
MCMILLAN RANCH
Enumeration date
06/27/2013
Last updated
06/27/2013
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