Individual
ELIZABETH CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 21ST ST STE 5539, SACRAMENTO, CA 95811-5226
(707) 908-9484
Mailing address
6250 CHANTEL DR, FONTANA, CA 92336-1076
(909) 609-4261
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
CA
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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