Individual
JOYCE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
8056 COUNTY ROAD 69.1, TRINIDAD, CO 81082-9716
(719) 859-3879
Mailing address
8056 COUNTY ROAD 69.1, TRINIDAD, CO 81082-9716
(719) 859-3879
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0007904
CO
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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