Individual
ANGELA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
607 S LEA AVE, ROSWELL, NM 88203-4567
(575) 420-9541
Mailing address
607 S LEA AVE, ROSWELL, NM 88203-4567
(575) 420-9541
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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