Individual
CHANTIL GOREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 PEARL, SEAGOVILLE, TX 75159-2457
(214) 957-7702
Mailing address
2601 PEARL, SEAGOVILLE, TX 75159-2457
(214) 957-7702
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
16397786
TX
343800000X
Secured Medical Transport (VAN)
16397786
TX
347C00000X
Private Vehicle
16397786
TX
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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