Individual
JENISE IMANI CHAPPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868
(714) 639-4990
Mailing address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3892
(714) 639-4990
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3288
CA
Other
Enumeration date
06/26/2018
Last updated
08/15/2018
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