Individual
EMILIANO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
414 ARROYO SECO LN, IMPERIAL, CA 92251-2040
(619) 818-8609
Mailing address
PO BOX 1731, EL CENTRO, CA 92244-1731
(619) 818-8609
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18736
CA
Other
Enumeration date
06/20/2011
Last updated
06/20/2011
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