Individual
MR. MARIO M CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 COMMERCE WAY STE 6, CLOVIS, NM 88101-4870
(575) 208-0028
Mailing address
PO BOX 640, CLOVIS, NM 88102-0640
(575) 309-7536
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
02/07/2018
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