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Individual

JOANN CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2920 CARLISLE BLVD NE STE D, ALBUQUERQUE, NM 87110-2855
(505) 306-4979
Mailing address
909 TIJERAS AVE NW APT 218, ALBUQUERQUE, NM 87102-2957
(505) 306-4979

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
6557163
NM

Other

Enumeration date
08/05/2021
Last updated
08/05/2021
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