Individual
MARIA LUZ CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4222 MCEVER RD, OAKWOOD, GA 30566-2237
(770) 536-1099
Mailing address
209 MINCEY AVE, GAINESVILLE, GA 30501-6227
(678) 897-1387
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
250100103031343
GA
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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