SUSAN T CHACKO

CHANDLER, AZ
NPI1609559210
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  263405)
Enumeration Date2023-08-10
Last Update Date2023-10-04
Business Address
SUSAN T CHACKO
5961 S GEMSTONE DR
CHANDLER, AZ 85249-5803
Phone number: 480-719-0098
Mailing Address
SUSAN T CHACKO
5961 S GEMSTONE DR
CHANDLER, AZ 85249-5803
Phone number:
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