Individual
THERESA MARTHA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
735 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8493
(505) 865-3350
Mailing address
735 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8493
(505) 865-3350
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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