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1477248847
MARTHA ALISIA CHAVEZ
EUREKA, CA
NPI
1477248847
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Former Name
MARTHA ALISIA LOPEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 732580)
Enumeration Date
2023-04-10
Last Update Date
2023-07-24
Business Address
MARTHA ALISIA CHAVEZ
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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Mailing Address
MARTHA ALISIA CHAVEZ
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
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