Individual
PATRICIA ANN CHABALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
24077 STATE HIGHWAY 49, NEVADA CITY, CA 95959-8519
(530) 292-3450
Mailing address
4200 LYLE ST, SACRAMENTO, CA 95821-6616
(408) 607-5996
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
513402
CA
Other
Enumeration date
09/07/2016
Last updated
09/13/2016
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