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Individual

CHIHYO SOPHIA CHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-9006
(214) 648-2168
Mailing address
6401 MAPLE AVE APT 8207, DALLAS, TX 75235-5525
(940) 218-8265

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
06/15/2021
Last updated
10/16/2024
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