Andrellita B Chavez, ATC

NPI #1306018601 in Las Vegas, New Mexico

Provider Information

NPI Number
1306018601
Entity Type
Individual
Name
Andrellita B Chavez, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist
Credential
ATC
Enumeration Date
Mar 26, 2008
Last Updated
Mar 26, 2008

Practice Location

Address
1241 9TH STREET
ZIP Code
87701
Phone
(505) 507-6034

Specialties & Taxonomy Codes

Specialty
Specialist

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