SearchNew Mexico175T00000X

Tana Chavez

NPI 1760065817 · on the registry since 2021 · sole proprietor

Practice

Address
P.O Box 4339
San Felipe Pueblo, NM 87001
Phone
(505) 771-1463
Fax
(505) 771-9994

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
101YA0400X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico