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Chantal Angelique Fry, PA
Medical Physician Assistant in San Jose, California
NPI 1477280006

Chantal Angelique Fry is a Medical Physician Assistant based in San Jose, CA and is specialized in Medical. Chantal Angelique Fry practices in San Jose, CA and has the professional credentials of PA. The NPI Number for Chantal Angelique Fry is 1477280006 and holds a License No. PA61339 (California).

The current practice location address for Chantal Angelique Fry is 2105 Forest Ave, San Jose, CA and can be reached out via phone at 408-947-2500.

Location: 2105 Forest Ave, San Jose, CA, 95128-1425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477280006
Provider Name
Chantal Angelique Fry
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2105 Forest Ave, San Jose, CA, 95128-1425
Phone Number
408-947-2500
Fax Number
Provider Enumeration Date
08/03/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2105 Forest Ave
City
San Jose
State
California
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
person
Provider Business Mailing Address Details
Address
2105 Forest Ave
City
San Jose
State
California
Zip
95128-1425
Phone Number
408-947-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA61339 (California)
Definition
Definition to come...
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