Individual
MATTHEW KENYON CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
520 N MAIN ST, BELEN, NM 87002-3720
(505) 966-1600
(505) 966-1265
Mailing address
195 BACA AVE, SANTA ROSA, NM 88435-2435
(505) 785-2270
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-72482
NM
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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