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Individual

CHASE SNODGRASS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(253) 217-7546
Mailing address
400 N PEPPER AVE # 205, COLTON, CA 92324-1801
(253) 217-7546

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/22/2024
Last updated
09/18/2024
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