Individual
JUANA L CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47 CHAVEZ CIRCLE, ZUNI, NM 87327
(505) 604-8458
Mailing address
GENERAL DELIVERY, ZUNI, NM 87327-9999
(505) 604-8458
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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