Individual
ALYSSA C CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3433 W SHAW AVE STE 107, FRESNO, CA 93711-3229
(559) 476-2115
Mailing address
3433 W SHAW AVE STE 107, FRESNO, CA 93711-3229
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
11/03/2017
Last updated
04/09/2019
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