Individual
DUSTY CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 57TH ST NW, ALBUQUERQUE, NM 87105-1423
(505) 836-4911
Mailing address
PO BOX 25704, ALBUQUERQUE, NM 87125-0704
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R43175
NM
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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