Individual
HOLLY ANN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 S MAIN ST STE 402, BELEN, NM 87002-3111
(505) 453-3621
Mailing address
101 S MAIN ST STE 402, BELEN, NM 87002-3111
(505) 453-3621
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
12/29/2024
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