Individual
RHONDA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CS PROGRAM SUPPORT
Contact information
Practice address
501 S 4TH ST, SANTA ROSA, NM 88435-2417
(575) 472-0745
Mailing address
501 S 4TH ST, SANTA ROSA, NM 88435-2417
(575) 781-2008
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/18/2014
Last updated
12/09/2024
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