Individual
ITZEMAYA Q. CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
1835 MULBERRY WAY, UPLAND, CA 91784-1527
(909) 896-0685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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