Individual
ELEAZAR CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
1335 N ELDERBERRY AVE, ONTARIO, CA 91762-1018
(626) 484-6074
Mailing address
1335 N ELDERBERRY AVE, ONTARIO, CA 91762-1018
(626) 484-6074
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
60401
CA
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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