| NPI | 1811794597 |
|---|---|
| Former Name | ANGELIQUE CHACON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171W00000X Contractor |
| 177F00000X Lodging | |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |