Individual
HAZEL NINOBLA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1440 PENNINGTON RD STE 1, EWING, NJ 08618-2669
(609) 422-7928
Mailing address
1440 PENNINGTON RD STE 1, EWING, NJ 08618-2669
(609) 422-7928
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00843000
NJ
Other
Enumeration date
11/23/2018
Last updated
06/13/2022
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