Individual
MS. JOSEFINA SAMONTE MERCADO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSFN, MSN
Contact information
Practice address
250 W 24TH ST STE O, YUMA, AZ 85364-8506
(928) 955-0084
(928) 955-0032
Mailing address
250 W 24TH ST STE O, YUMA, AZ 85364-8506
(928) 955-0084
(928) 955-0032
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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