Individual
CHLOE JULIANA CANNATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 COUNTRY CLUB RD, PRATT, KS 67124-8188
(620) 388-0864
Mailing address
1501 COUNTRY CLUB RD, PRATT, KS 67124-8188
(620) 388-0864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA63191
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/16/2023
Last updated
10/05/2023
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