KANISHA CHAVEZ

Community/Behavioral Health Agency

NPI: 1942162300Individual

Specialties, Licenses & Credentials

Community/Behavioral Health AgencyPrimary

Community/Behavioral Health

Code: 251S00000X

Contact & Hours

Address: PO BOX 130, 19 CEDAR TREE PARK
SANTO DOMINGO PUEBLO, NM 87052
Phone: (505) 585-0114

Quick Facts

NPI: 1942162300
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

Are you this provider?

Claim Your Profile