Individual
JORGE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6216 S 140TH AVE, OMAHA, NE 68137-2870
(402) 203-9720
Mailing address
6216 S 140TH AVE, OMAHA, NE 68137-2870
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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