CHARLENE CHACON
Individual Provider (NPI-1)
Active
Technician/Technologist
Provider Information
- NPI Number
1437916566- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2201 SUMMERLON CIR, DODGE CITY, KS, 678012985
- Phone
- (620) 225-7146
- Fax
- (620) 225-2689
Specialties & Taxonomies
Technician/Technologist
Primary License: KS