Individual
CONNIE CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WILSHIRE BLVD, LOS ANGELES, CA 90057-4303
(213) 639-0299
Mailing address
22730 SATICOY ST, WEST HILLS, CA 91307-1620
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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