Individual
JONATHAN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.T. (R)(CT)
Contact information
Practice address
1722 TRUMAN ST NE, ALBUQUERQUE, NM 87110-5854
(505) 306-9079
Mailing address
1722 TRUMAN ST NE, ALBUQUERQUE, NM 87110-5854
(505) 306-9079
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
18168
MA
Other
Enumeration date
07/26/2014
Last updated
07/26/2014
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