Individual
AGELICA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
609 8TH AVE, SOUTH SIOUX CITY, NE 68776-1553
(712) 204-2730
Mailing address
609 8TH AVE, SOUTH SIOUX CITY, NE 68776-1553
(712) 204-2730
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
NE
372600000X
Adult Companion
—
NE
3747P1801X
Personal Care Attendant
—
NE
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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