Individual
JACKSON JAMES CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13202 FLORENCE AVE, SANTA FE SPRINGS, CA 90670-4510
(562) 574-2637
Mailing address
11521 GRADWELL ST, LAKEWOOD, CA 90715-2029
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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