Individual
JOSE CHAVARRIA-CORRAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1302 CHINOOK LN, PUEBLO, CO 81001-1851
(719) 545-2746
Mailing address
41 MONTEBELLO RD STE 204, PUEBLO, CO 81001-1379
(719) 545-2746
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.0338816
CO
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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