Individual
ALEXIS GUADALUPE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 MCCAIN BLVD BLDG 601, NAVAL AIR STATION NORTH ISLAND, CORONADO, CA 92135
(619) 545-9311
Mailing address
601 MCCAIN BLVD BLDG 601, NAVAL AIR STATION NORTH ISLAND, CORONADO, CA 92135
(619) 545-9311
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
05/07/2014
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