Individual
KRISTY MARIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(909) 626-8053
Mailing address
630 S INDIAN HILL BLVD STE 5, CLAREMONT, CA 91711-5461
(909) 626-8053
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA 21720785
CA
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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