Individual
JADEN N CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 JUNCTION RD, RUIDOSO, NM 88345-6070
(505) 448-6659
Mailing address
253 JUNCTION RD, RUIDOSO, NM 88345-6070
(505) 448-6659
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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