Individual
PATRICIA M CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1172 TERRACE AVE, COLTON, CA 92324-1727
(909) 436-7684
Mailing address
PO BOX 225, COLTON, CA 92324-0225
(909) 436-7684
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
001887
CA
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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