Individual
ALIZE VALERIA CHAVEZ HERMOCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 HOLLAND ST, FORT BRAGG, NC 28307-1611
(619) 902-7513
Mailing address
19 HOLLAND ST, FORT BRAGG, NC 28307-1611
(619) 902-7513
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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