Individual
JUAN CARLOS CHAVARRIA
Active
Individual
JUAN CARLOS CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OWNER
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C32604156302682
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-2706571
—
NJ
Enumeration date
07/05/2018
Last updated
07/05/2018
Update your record
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