Individual
CONNIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 X ST, 1200, SACRAMENTO, CA 95817-2214
(626) 688-7426
Mailing address
4150 V ST STE 1200, SUITE 1200, SACRAMENTO, CA 95817-1460
(626) 688-7426
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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