AIDEN XIAOLOU CHAVEZ

JACKSON, MI
NPI1205681467
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence: MI  101260015)
Enumeration Date2024-04-22
Last Update Date2024-04-22
Business Address
AIDEN XIAOLOU CHAVEZ
1200 N WEST AVE
JACKSON, MI 49202-2179
Phone number: 800-284-8288
Mailing Address
AIDEN XIAOLOU CHAVEZ
21203 W M 60
HOMER, MI 49245-8604
Phone number: 503-509-8628