KANISHA CHAVEZ

SANTO DOMINGO PUEBLO, NM
NPI1942162300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-11-24
Last Update Date2025-11-24
Business Address
KANISHA CHAVEZ
PO BOX 130 19 CEDAR TREE PARK
SANTO DOMINGO PUEBLO, NM 87052-0130
Phone number: 505-585-0114
Mailing Address
KANISHA CHAVEZ
PO BOX 130
SANTO DOMINGO PUEBLO, NM 87052-0130
Phone number: 505-585-0114
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