Individual
SANDRA JO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
770 CARNINE RD, CASTLE ROCK, WA 98611-9714
(360) 967-2391
Mailing address
770 CARNINE RD, CASTLE ROCK, WA 98611-9714
(360) 560-1088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00148075
WA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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