Individual
JUSTIN CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1610 N 18TH ST, GRAND JUNCTION, CO 81501-6604
(570) 269-2813
Mailing address
1610 N 18TH ST, GRAND JUNCTION, CO 81501-6604
(570) 269-2813
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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