Individual
MS. CHASE MONTARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
802 BREWSTER AVE, REDWOOD CITY, CA 94063-1510
(650) 363-4111
(650) 364-6927
Mailing address
PO BOX 1915, EL GRANADA, CA 94018-1915
(650) 533-4385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
422944
CA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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