Individual
MAYRA R CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15911 POMONA RINCON RD, CHINO HILLS, CA 91709-5566
(909) 248-1155
Mailing address
4244 E GRAND AVE, POMONA, CA 91766-4053
(909) 545-2176
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
92921
CA
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
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