Individual
MRS. DIANA LYNNE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3100 N MAIN ST, LAS CRUCES, NM 88001-1162
(575) 525-0298
Mailing address
2528 FALLBROOK WAY, LAS CRUCES, NM 88011-4296
(575) 639-1869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6124
NM
Other
Enumeration date
08/24/2010
Last updated
08/24/2010
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