RAPHAEL JOSEPH CHAVEZ

CLOVIS, NM
NPI1790854719
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NM  1018)
Enumeration Date2006-11-06
Last Update Date2007-07-08
Business Address
-- RAPHAEL JOSEPH CHAVEZ COTA
1600 SUTTER PL
CLOVIS, NM 88101-4611
Phone number: 505-769-4490
Mailing Address
-- RAPHAEL JOSEPH CHAVEZ COTA
2005 RAINTREE
CLOVIS, NM 88101-9595
Phone number: 505-799-3469