Individual
MAUREEN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10501 GOLF COURSE, ALBUQUERQUE, NM 87114
(505) 994-2296
Mailing address
900 LOMA COLORADO BLVD NE, RIO RANCHO, NM 87124-6524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9630
NM
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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