Individual
DAVID ANTONIO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14630 WYANDOTTE ST APT 219, VAN NUYS, CA 91405-1984
(818) 940-0790
Mailing address
14630 WYANDOTTE ST APT 219, VAN NUYS, CA 91405-1984
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
96529
CA
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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