Individual
ALICIA MICHELLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
705 DONEGAL DR, PAPILLION, NE 68046-2133
(402) 232-3371
Mailing address
705 DONEGAL DR, PAPILLION, NE 68046-2133
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
03/23/2010
Last updated
05/13/2015
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