Individual
KIN KYI CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14766 WASHINGTON AVE, SAN LEANDRO, CA 94578
(510) 352-2211
Mailing address
3695 STEVENSON BLVD UNIT 312, FREMONT, CA 94538-2375
(201) 790-4398
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA5350
CA
Other
Enumeration date
09/06/2020
Last updated
09/06/2020
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