Individual
LYDIA ELEANOR CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 CERRO CRESTADO DR NW, LOS LUNAS, NM 87031-8349
(505) 595-6444
Mailing address
1400 CERRO CRESTADO DR NW, LOS LUNAS, NM 87031-8349
(505) 595-6444
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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