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Individual

MA LUZ PRIAS CHAVEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0034
Mailing address
2701 SW 13TH ST APT D10, GAINESVILLE, FL 32608-2069
(352) 328-4584

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
RN9352438
FL

Other

Enumeration date
06/26/2018
Last updated
06/26/2018
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