# JONATHAN CHAVEZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366850950
- **Gender:** Man
- **Credential:** R.T. (R)(CT)

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | 18168 | MA | Yes |

## Other

- **Enumeration date:** 07/26/2014
- **Last updated:** 07/26/2014