Individual provider · NPI-1

Martina Chavez

Speech-Language Pathologist, · Los Lunas, NM

NPI number1073912465
StatusActive
Last updated in NPPESAug 21, 2014

Details

NPI
1073912465
Entity type
Individual (NPI-1)
Name
Martina Chavez
Sex
Female
Sole proprietor
No
Enumeration date
Aug 21, 2014
Last updated
Aug 21, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,C-5585NMYes

Practice location

436 Peyton Rd
Los Lunas, NM 87031-7794

Phone 505-710-7106

Mailing address

436 Peyton Rd
Los Lunas, NM 87031-7794

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