NPI | 1760733083 |
---|---|
Professional Name | JESSICA J. CHAVEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 0003977) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 0159521) |
Enumeration Date | 2012-09-26 |
Last Update Date | 2015-05-11 |