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Contact Information

JACKELINE B CHAVARRIA
17450 MAIN ST. STD D, SUITE 101
HESPERIA, CA92345
 Phone: 760-493-2929
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for JACKELINE B CHAVARRIA · (Female)

NPI # 1114743564
Status Active
Credentials
Entity Individual
Enumeration date 12/02/2024
Last updated 12/02/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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