Individual
JOSIE QUINN CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-2800
Mailing address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1038
NM
Other
Enumeration date
05/22/2025
Last updated
06/12/2025
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