Provider Demographics
NPI:1851784458
Name:RIZON, CHESTER CABANLIT (RN)
Entity Type:Individual
Prefix:MR
First Name:CHESTER
Middle Name:CABANLIT
Last Name:RIZON
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10007 100TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98498-3112
Mailing Address - Country:US
Mailing Address - Phone:253-905-3780
Mailing Address - Fax:
Practice Address - Street 1:10007 100TH ST SW
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:WA
Practice Address - Zip Code:98498-3112
Practice Address - Country:US
Practice Address - Phone:253-905-3780
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00167023163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse