Provider Demographics
NPI:1407321995
Name:CHAVARRIA, JOSSELYN GUTIERREZ
Entity Type:Individual
Prefix:
First Name:JOSSELYN
Middle Name:GUTIERREZ
Last Name:CHAVARRIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 W ROMIE LN APT 8
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2331
Mailing Address - Country:US
Mailing Address - Phone:831-229-9808
Mailing Address - Fax:
Practice Address - Street 1:505 E ROMIE LN STE E
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4031
Practice Address - Country:US
Practice Address - Phone:831-244-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374700000XNursing Service Related ProvidersTechnician