Individual
DIAMOND MERCEDES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9315 W ORANGE DR, GLENDALE, AZ 85305-3376
(480) 257-0709
Mailing address
9315 W ORANGE DR, GLENDALE, AZ 85305-3376
(480) 257-0709
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
305575
AZ
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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