Individual
TEQUILA CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 STATE ROAD 38 E STE 300, 1016, LAFAYETTE, IN 47905-5167
(219) 386-0000
Mailing address
3500 STATE ROAD 38 E STE 300, LAFAYETTE, IN 47905-5167
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/10/2026
Last updated
01/10/2026
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