Individual
ANDREA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2210 MESA DR STE 12, OCEANSIDE, CA 92054-3700
(760) 736-6780
(760) 736-8740
Mailing address
2210 MESA DR STE 12, OCEANSIDE, CA 92054-3700
(760) 736-6780
(760) 736-8740
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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