Individual
CHANTAL NICOLE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
1949 SYCAMORE CT, MCKINLEYVILLE, CA 95519-3900
(176) 085-1445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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