Individual
ALDA SOFIA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
482 W SAN YSIDRO BLVD STE 1733, SAN YSIDRO, CA 92173-2444
(619) 755-5908
Mailing address
482 W SAN YSIDRO BLVD STE 1733, SAN YSIDRO, CA 92173-2444
(619) 755-5908
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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