Individual
ALEXIS G. CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1315 WYOMING ST, MISSOULA, MT 59801-1725
(406) 532-9700
(406) 541-3035
Mailing address
T-9 FORT MISSOULA, MISSOULA, MT 59804-7202
(406) 532-8400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31884
MT
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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