Individual
JACQUELINE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3940 NORTH MARTIN LUTHER KING BOULEVARD, FMHWC, NORTH LAS VEGAS, NV 89032-7640
(702) 731-0909
(702) 724-1978
Mailing address
8936 SPANISH RIDGE AVE, LAS VEGAS, NV 89148-1354
(702) 731-0909
(702) 998-2991
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHWI-5442
NV
Other
Enumeration date
10/19/2023
Last updated
11/03/2023
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