Organization
JOSE CARLOS CHAVEZ
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOSE CARLOS CHAVEZ NP (NURSE PRACTITIONER)
(951) 924-5023
Entity
Organization
Contact information
Practice address
17299 CREMELLO WAY, MORENO VALLEY, CA 92555
(951) 924-5023
Mailing address
17299 CREMELLO WAY, NA, MORENO VALLEY, CA 92555
(951) 924-5023
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
14641
CA
Other
Enumeration date
02/20/2007
Last updated
08/06/2008
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