MARITZA E CHAVEZ STAHLY

GOSHEN, IN
NPI1124590237
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002466A)
Enumeration Date2018-12-31
Last Update Date2018-12-31
Business Address
MARITZA E CHAVEZ STAHLY LAT, ATC
1824 DORCHESTER CT STE A
GOSHEN, IN 46526-6819
Phone number: 574-534-2548
Mailing Address
MARITZA E CHAVEZ STAHLY LAT, ATC
318 W OAKRIDGE AVE
GOSHEN, IN 46528-2652
Phone number:
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