Individual
VICTOR S CHAVEZ-ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C,RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0200006
CO
246ZC0007X
Surgical Assistant
Primary
SA.0001276
CO
Other
Enumeration date
07/25/2011
Last updated
05/10/2016
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