Individual
JANET L CHACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
6047 BURGUNDY TER, PORT ORANGE, FL 32127-6785
(386) 872-2581
Mailing address
PO BOX 290474, PORT ORANGE, FL 32129-0474
(386) 872-2581
Taxonomy
Speciality
Code
Description
License number
State
246QH0000X
Hematology Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/01/2020
Last updated
03/01/2020
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