Individual
BRITTNEY MARIE CHAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
541 S HAM LN STE A, LODI, CA 95242-3530
(209) 553-0798
(209) 224-5076
Mailing address
541 S HAM LN STE A, LODI, CA 95242-3530
(209) 553-0798
(209) 224-5076
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
40274
CA
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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