Individual
MRS. LYNETTE CHAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3201 BUDINGER AVE, SAINT CLOUD, FL 34769-7203
(407) 891-3054
Mailing address
2566 ISABELA TER, KISSIMMEE, FL 34743-5816
(407) 580-0868
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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