Individual
ELENA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
309 SW 16TH AVE APT 220, GAINESVILLE, FL 32601-8587
(510) 612-5544
Mailing address
1411 NW 6TH ST UNIT 120, GAINESVILLE, FL 32601-4021
(510) 612-5544
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA72586
FL
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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