Individual
MARIELA ESPERANZA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 W PARK ST, STOCKTON, CA 95203-2614
(209) 871-3772
Mailing address
1248 W PARK ST, STOCKTON, CA 95203-2614
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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