Individual
MARISA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8379 W SUNSET RD UNIT 140, LAS VEGAS, NV 89113
(702) 212-3008
Mailing address
8379 W SUNSET RD UNIT 140, LAS VEGAS, NV 89113
(702) 212-3008
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/11/2020
Last updated
07/13/2024
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