Individual
IVONNE ELIZABETH JUAREZ-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
896 WASHINGTON ST, MIDDLETOWN, CT 06457-2912
(860) 788-3632
Mailing address
304 NOTT ST, WETHERSFIELD, CT 06109-1623
(860) 338-9477
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3883
CT
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/21/2017
Last updated
11/04/2021
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