Individual
CAROLINE GRACE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 787-8860
Mailing address
2130 STOCKTON BLVD # 300, SACRAMENTO, CA 95817-1337
(916) 520-2460
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
42878
CA
Other
Enumeration date
07/19/2022
Last updated
08/06/2024
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