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Individual

ISABELLA CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
303 N WILLOW ST, BLOOMFIELD, NM 87413-5625
(505) 947-6557
Mailing address
303 N WILLOW ST, BLOOMFIELD, NM 87413-5625

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
05/03/2025
Last updated
05/03/2025
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