Individual
CHANTAL J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
217 W CENTRAL AVE STE G, LOMPOC, CA 93436-2830
(805) 735-4292
Mailing address
1414 E MAIN ST STE 201, SANTA MARIA, CA 93454-4890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56242
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/11/2018
Last updated
08/17/2021
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