Individual
PAULINE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10220 PASEO DEL NORTE NW, SIERRA VISTA ES, ALBUQUERQUE, NM 87114-4730
(505) 898-0272
Mailing address
10220 PASEO DEL NORTE NW, SIERRA VISTA ES, ALBUQUERQUE, NM 87114-4730
(505) 898-0272
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3168
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25770781
—
NM
Enumeration date
04/19/2007
Last updated
07/09/2007
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