Individual
LLAIR DIDIER CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
517 S A ST, MADERA, CA 93638-3806
(559) 673-9228
Mailing address
27299 PARKWOOD AVE, MADERA, CA 93637-6159
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51238
CA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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