Provider Demographics
NPI:1255971032
Name:AZARCON, CHELSEA (NMD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:
Last Name:AZARCON
Suffix:
Gender:F
Credentials:NMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7122 BAYRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-6507
Mailing Address - Country:US
Mailing Address - Phone:916-512-9556
Mailing Address - Fax:
Practice Address - Street 1:185 CHERRY AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95603-4811
Practice Address - Country:US
Practice Address - Phone:916-512-9886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-09
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1134175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath