Individual
DEANNA LORETTA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Mailing address
2279 45TH ST, SACRAMENTO, CA 95817-1514
(916) 734-5959
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
707905
CA
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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