Individual
MARY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10474 VICTOR ST, COMMERCE CITY, CO 80022-0703
(720) 252-6918
Mailing address
10474 VICTOR ST, COMMERCE CITY, CO 80022-0703
(720) 252-6918
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0201683
CO
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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