Most Relevant Information
Provider Data
| NPI Number: | 1003389156 |
| Provider Name: | MERCEDES SHAWNTEEC CHAVEZ |
| Entity Type: | Individual |
| Taxonomy Code: | 372500000X |
| Specialty: | Chore Provider |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/10/2019 |
| Last Updated: | 01/10/2019 |
Provider Practice Location
2001 S JONES BLVD STE H
LAS VEGAS
NV
891463165
Practice Location Phone/Fax
| Phone: | 7023670111 |
| Fax: |
Provider Mailing Location
520 COLLEGE DR APT 117
HENDERSON
NV
890157584
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |