Individual
SANTIAGO CHAVEZ MORILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1617 N OAK ST, ARTESIA, NM 88210-1033
(575) 621-6492
Mailing address
1617 N OAK ST, ARTESIA, NM 88210-1033
(575) 621-6492
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/22/2021
Last updated
08/22/2021
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