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Individual
SAMANTHA CHAVEZ
Active
Individual
SAMANTHA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D1353805
DRIVER LICENSE
CA
Enumeration date
02/05/2020
Last updated
03/27/2025
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