Individual
ANTHONY C CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.T. (T)
Contact information
Practice address
10767 JAMACHA BLVD, SPACE 197, SPRING VALLEY, CA 91978-1829
(619) 937-1164
Mailing address
10767 JAMACHA BLVD, SPACE 197, SPRING VALLEY, CA 91978-1829
(619) 937-1164
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
84497
CA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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