Individual
DESIREE CHAVEZ HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 DALIES AVE, BELEN, NM 87002-3617
(505) 864-7471
Mailing address
1518 MONTARA DR NW, LOS LUNAS, NM 87031-8309
(505) 859-2284
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00008619
NM
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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