Individual
CLARISSA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CPO05233
CA
224P00000X
Prosthetist
CPO05233
CA
Other
Enumeration date
10/12/2023
Last updated
11/13/2023
Update your record
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