Individual
CARMEN VICTORIA CHACON ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-3054
Mailing address
2624 E CACTUS RD APT 4123, PHOENIX, AZ 85032-7043
(404) 790-2624
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
R81674
AZ
Other
Enumeration date
06/28/2024
Last updated
06/09/2025
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