Individual
DENENE CHANDLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6018 REACH ST, PHILADELPHIA, PA 19111-5911
(267) 709-1400
Mailing address
6018 REACH ST, PHILADELPHIA, PA 19111-5911
(267) 709-1400
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
25737542
PA
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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