Individual
CHARLENE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
394. 3 US-160, KAYENTA, AZ 86033
(928) 697-4000
Mailing address
PO BOX 1242, KAYENTA, AZ 86033-1242
(505) 716-1010
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
53864
NM
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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