Individual
CONCEPCION E CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
393 N D ST, SAN BERNARDINO, CA 92418-0001
(909) 381-5100
(909) 381-5101
Mailing address
PO BOX 7369, REDLANDS, CA 92375-0369
(909) 792-0747
(909) 792-2045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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