Individual
JENNA ELIZABETH CHATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1814 RIDGEWAY, TEMPLE, TX 76502-5236
(325) 227-9827
Mailing address
1814 RIDGEWAY, TEMPLE, TX 76502-5236
(325) 227-9827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
857346
TX
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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