Individual
JESSICA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2006 SOUTHERN BLVD SE, SUITE 102, RIO RANCHO, NM 87124-3764
(505) 917-3912
Mailing address
2006 SOUTHERN BLVD SE, SUITE 102, RIO RANCHO, NM 87124-3764
(505) 917-3912
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7244
NM
Other
Enumeration date
03/20/2014
Last updated
03/20/2014
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