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Individual

BRIANDA M CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618
(619) 254-8740
Mailing address
730 MEDICAL CENTER CT, CHULA VISTA, CA 91911-6618

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CA

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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