Individual
SHERRELL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W. 11TH ST., SILVER CITY, NM 88061-5136
(575) 388-1511
(575) 388-3465
Mailing address
530 DE MOSS ST, LORDSBURG, NM 88045-2618
(575) 542-2369
(575) 542-2388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
11/02/2016
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