Individual
MARINA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 CAMINO CERRADO TRLR 138, SANTA FE, NM 87506-8332
(505) 927-0754
Mailing address
27 CAMINO CERRADO TRLR 138, SANTA FE, NM 87506-8332
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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