Individual
LARISSA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5725 PIKES PEAK LOOP NE, RIO RANCHO, NM 87144-1010
(575) 571-1609
Mailing address
5725 PIKES PEAK LOOP NE, RIO RANCHO, NM 87144-1010
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
25040D
NM
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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