Individual
MARY GRACE A CHAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CASE MANAGER
Contact information
Practice address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-9446
Mailing address
307 BOATNER RD, EGLIN AFB, FL 32542-1302
(850) 883-9446
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9311520
FL
171M00000X
Case Manager/Care Coordinator
Primary
4264320
FL
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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