Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156F00000X | Technician/Technologist |
NPI | 1023570199 |
---|---|
Provider Name | Erica Cuevas Chavez |
First Address | Yuba City, CA 95993-8979 |
Second Address | Yuba City, CA 95993-8979 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2019 |
Last Update Date | 05/04/2019 |