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Individual
RACHEL CHAVEZ
Active
Individual
RACHEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA20492
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20492
CA LICENSE #
CA
Enumeration date
10/06/2009
Last updated
10/13/2010
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