Individual
IRIS MARTITA CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 E MAIN ST, STOCKTON, CA 95202-2946
(209) 464-4524
Mailing address
540 N CALIFORNIA ST, STOCKTON, CA 95202-2117
(209) 464-4525
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
05/30/2025
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