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Individual

DAVID JOE CHAVEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
2600 YALE BLVD SE, ALBUQUERQUE, NM 87106-4383
(505) 994-7999
(505) 243-0366
Mailing address
933 BRADBURY DR SE, ALBUQUERQUE, NM 87106-4374
(505) 272-3120
(505) 272-8060

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R44026
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156003005
NM
Enumeration date
11/14/2017
Last updated
11/14/2017
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