Individual
CLARISSA CHAMORRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 OLD ALABAMA RD SW, MABLETON, GA 30126-4108
(661) 747-8267
Mailing address
840 OLD ALABAMA RD SW, MABLETON, GA 30126-4108
(661) 747-8267
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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