Healthcare Provider Details

I. General information

NPI: 1255755948
Provider Name (Legal Business Name): DULCE C CHAVEZ INTERPRETER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/14/2014
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17828 25TH AVENUE CT E
TACOMA WA
98445-4288
US

IV. Provider business mailing address

17828 25TH AVENUE CT E
TACOMA WA
98445-4288
US

V. Phone/Fax

Practice location:
  • Phone: 915-422-5439
  • Fax:
Mailing address:
  • Phone: 915-422-5439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License NumberMC14530
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: