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Mariela Esperanza Chavez

Technician, Attendant Care Provider in Stockton, CA. Individual provider (NPI-1).

NPI number1760102552
StatusActive
Last updated in NPPESAug 31, 2022

Details

NPI
1760102552
Entity type
Individual (NPI-1)
Name
Mariela Esperanza Chavez
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 31, 2022
Certification date
Aug 31, 2022
Last updated
Aug 31, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

1248 W Park St
Stockton, CA 95203-2614

Phone 209-871-3772

Mailing address

1248 W Park St
Stockton, CA 95203-2614

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Other Attendant Care Provider providers in Stockton, CA

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