Individual
YOLANDA J CHACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2800 DORAL CT STE A, LAS CRUCES, NM 88011-8616
(575) 521-0055
(575) 521-0077
Mailing address
2800 DORAL CT STE A, LAS CRUCES, NM 88011-8616
(575) 521-0055
(575) 521-0077
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
5901002337
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
342
NM
213ES0103X
Foot & Ankle Surgery Podiatrist
5901002337
MI
213ES0131X
Foot Surgery Podiatrist
5901002337
MI
Other
Enumeration date
07/15/2009
Last updated
08/27/2012
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