Individual provider · NPI-1

Briana Quetzali Chavez

Community/Behavioral Health · Moreno Valley, CA

NPI number1285518308
StatusActive
Last updated in NPPESAug 1, 2025

Details

NPI
1285518308
Entity type
Individual (NPI-1)
Name
Briana Quetzali Chavez
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 1, 2025
Certification date
Aug 1, 2025
Last updated
Aug 1, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

13908 Walnut Ct
Moreno Valley, CA 92555-6126

Phone 323-244-6037

Mailing address

13908 Walnut Ct
Moreno Valley, CA 92555-6126

Phone 323-244-6037

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