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Anthony C Chavis, R.T. (T)

Radiologic Technologist, Radiation Therapy in Spring Valley, CA. Individual provider (NPI-1).

NPI number1073771069
StatusActive
Last updated in NPPESMay 28, 2008

Details

NPI
1073771069
Entity type
Individual (NPI-1)
Name
Anthony C Chavis
Credential
R.T. (T)
Sex
Male
Sole proprietor
Yes
Enumeration date
May 28, 2008
Last updated
May 28, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2471R0002X Radiologic Technologist, Radiation Therapy84497CAYes

Practice location

10767 Jamacha Blvd
Space 197
Spring Valley, CA 91978-1829

Phone 619-937-1164

Mailing address

10767 Jamacha Blvd
Space 197
Spring Valley, CA 91978-1829

Phone 619-937-1164

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