Individual
MARY CLAIRE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 RIO RANCHO BLVD SE, RIO RANCHO, NM 87124-7020
(505) 727-4950
Mailing address
1515 EUBANK BLVD SE, BLDG. 831/832, ALBUQUERQUE, NM 87123-3453
(505) 844-4237
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4934
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2013
Last updated
07/12/2022
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