Individual
MRS. AVA MARIE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8309 CARRIAGE CT, RIVERSIDE, CA 92508-7140
(951) 522-7555
Mailing address
8309 CARRIAGE COURT, RIVERSIDE, CA 92508
(951) 522-7555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
732616
CA
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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