Individual
MISS SAGRARIO ALVA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
SAGRARIO CHAVEZ, 1248 WEST PARK ST., STOCKTON, CA 95203
(209) 227-9510
Mailing address
SAGRARIO CHAVEZ, 1248 WEST PARK ST., STOCKTON, CA 95203
(209) 227-9510
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91037885A76056
—
CA
Enumeration date
12/26/2019
Last updated
12/26/2019
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