| NPI | 1740066059 |
|---|---|
| Former Name | FRANK CHAVARRIA PRAVIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-07-15 |