Individual
LEILANI CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6422 KNOLLBROOK DR, HYATTSVILLE, MD 20783-5016
(240) 605-3839
Mailing address
6422 KNOLLBROOK DR, HYATTSVILLE, MD 20783-5016
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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