Individual
MA THURSDAY VASQUEZ CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CORNER ROUTE 7 AND ROUTE 12, FORT DEFIANCE, AZ 86504-8650
(928) 729-8600
Mailing address
918 GRAPE ST, TRUTH OR CONSEQUENCES, NM 87901-1732
(310) 293-5570
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN-88463
NM
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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