Individual
CHANTALE ELLIS PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
735 LOTUS ST, SAN JOSE, CA 95116-3342
(619) 723-7906
(650) 858-8957
Mailing address
735 LOTUS ST, SAN JOSE, CA 95116-3342
(619) 723-7906
(650) 858-8957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
559135
CA
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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