Individual
MONIQUE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 MARIE LN, LAWRENCE, MA 01843-3219
(978) 905-0138
Mailing address
PO BOX 974, NORTH ANDOVER, MA 01845-0974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN273746
MA
163WG0000X
General Practice Registered Nurse
273746
MA
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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