Individual
ANGELICA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
524 W VISTA WAY, VISTA, CA 92083-5704
(760) 305-4900
(760) 305-4919
Mailing address
524 W VISTA WAY, VISTA, CA 92083-5704
(760) 305-4900
(760) 305-4919
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN710636
CA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/11/2014
Last updated
10/26/2022
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