Individual
JACQUELINE FLORES CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-5129
Mailing address
7246 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 206-0360
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41839
CA
Other
Enumeration date
01/21/2021
Last updated
03/23/2023
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