CHALISE L LARK

PHILADELPHIA, PA
NPI1598096463
Former NameCHALISE L MASON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: PA  RN539928)
Enumeration Date2010-01-16
Last Update Date2019-07-31
Business Address
CHALISE L LARK CRNA
5501 OLD YORK RD TOWER 3
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-6850
Mailing Address
CHALISE L LARK CRNA
101 E OLNEY AVE STE 400
PHILADELPHIA, PA 19120-2470
Phone number: 215-456-7000
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