Individual
JACQUELINE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3321 CANDELARIA RD NE, ALBUQUERQUE, NM 87107-1966
(505) 706-0865
Mailing address
211 18TH ST SE, RIO RANCHO, NM 87124-2666
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2025
Last updated
04/28/2026
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