Individual
JOSE MANUEL CHAVARRIA
Active
Individual
JOSE MANUEL CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SURGICAL ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
17-438
WI
363AS0400X
Surgical Physician Assistant
Primary
SA00906
TX
Other
Enumeration date
07/19/2019
Last updated
02/13/2023
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