Individual
ROLANDO CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3233 24TH AVE S APT 310, GRAND FORKS, ND 58201-5872
(863) 245-9189
Mailing address
3233 24TH AVE S APT 310, GRAND FORKS, ND 58201-5872
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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