Individual
MARTINA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
436 PEYTON RD, LOS LUNAS, NM 87031-7794
(505) 710-7106
Mailing address
436 PEYTON RD, LOS LUNAS, NM 87031-7794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
C-5585
NM
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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