Individual
CHANTELLE JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4066 E MONSANTO DR STE E, SIERRA VISTA, AZ 85650-8512
(520) 335-6118
Mailing address
1816 VIOLA DR, SIERRA VISTA, AZ 85635-2150
(520) 227-0938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
248341
AZ
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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