Individual
JOSHUA P CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3204
(505) 925-2409
(505) 925-2411
Mailing address
2450 ALAMO AVE SE, ALBUQUERQUE, NM 87106-3204
(505) 925-2409
(505) 925-2411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L17349
NM
Other
Enumeration date
10/27/2010
Last updated
10/27/2010
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