HECTOR ANTONIO CHAVEZ SEGOVIA

BRENTWOOD, NY
NPI1174938484
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  318589)
Enumeration Date2014-06-25
Last Update Date2014-06-25
Business Address
-- HECTOR ANTONIO CHAVEZ SEGOVIA
137 ELLERY ST
BRENTWOOD, NY 11717-2701
Phone number: 631-415-3157
Mailing Address
-- HECTOR ANTONIO CHAVEZ SEGOVIA
137 ELLERY ST
BRENTWOOD, NY 11717-2701
Phone number: