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NPI Code Detail

MEDICARE: CHEYENNE XOCHITL LOVE

MEDICARE: CHEYENNE XOCHITL LOVE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1821799909
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEYENNE XOCHITL LOVE
Provider Business Mailing Address
First Line : 709 5TH AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-3202
Country : US
Telephone Number : 510-912-0122
Fax Number :
Provider Business Practice Location Address
First Line : 709 5TH AVE
Second Line :
City : SAN RAFAEL
State : CA
Zip : 94901-3202
Country : US
Telephone Number : 669-444-2132
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2023
Last Update Date : 07/31/2023

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Directions to “ CHEYENNE XOCHITL LOVE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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