Individual
CHASTINE AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1982 GLADSTONE WAY, SALINAS, CA 93906-7275
(831) 578-2966
Mailing address
1982 GLADSTONE WAY, SALINAS, CA 93906-7275
(831) 578-2966
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
712258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AYS603274772
BLUE CROSS BLUE SHIELD
CA
Enumeration date
02/10/2021
Last updated
02/10/2021
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