Individual
MS. JOSEFINA LARA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA
Contact information
Practice address
838 S MAIN ST, SALINAS, CA 93901-2408
(831) 775-9591
Mailing address
838 S MAIN ST, SALINAS, CA 93901-2408
(831) 775-9591
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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