Individual
JENNIFER ANN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
Mailing address
6301 CENTRAL AVE NW, ALBUQUERQUE, NM 87105-2036
(505) 831-6038
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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