Individual
BREANNA ALICIA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 MONTANA AVE STE G&H, EL PASO, TX 79925-2155
(915) 838-7604
Mailing address
271 HOLGUIN, VINTON, TX 79821-8601
(915) 996-8776
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
122548
TX
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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