Individual
KAYLEE IRENE CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E 4TH ST, HEREFORD, TX 79045-5733
(806) 679-6515
Mailing address
711 E 4TH ST, HEREFORD, TX 79045-5733
(806) 679-6515
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217445
TX
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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