Individual
JOSE CHAVARRIA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 COLLEGE ST, WINFIELD, KS 67156-2443
(620) 229-6000
Mailing address
3827 W BELLA VISTA ST, WICHITA, KS 67203-1028
(316) 992-9350
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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