Individual
CAMILLE YVETTE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1250 PEACH ST STE A, SAN LUIS OBISPO, CA 93401-2871
(805) 543-4043
(805) 543-7640
Mailing address
1250 PEACH ST STE A, SAN LUIS OBISPO, CA 93401-2871
(805) 543-4043
(805) 543-7640
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A12124
CA
207Q00000X
Family Medicine Physician
DO162164
OR
207Q00000X
Family Medicine Physician
OP60370105
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2010
Last updated
12/20/2022
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