Individual provider · Type 1 NPI

Edward J. Chacon

Student in an Organized Health Care Education/Training Program · Albuquerque, NM

NPI number 1679584759 Active

Practice location

6700 Jefferson St NE, Suite D-2
Albuquerque, NM 87109-4382

Call (505) 288-3916 Map

Mailing address

313 La Entrada Rd
Los Lunas, NM 87031-7617

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Medical Technicians 1710I1003XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2 other providers at this address

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About NPI 1679584759

Edward J. Chacon's National Provider Identifier is 1679584759, issued on Aug 11, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Albuquerque, NM. The record was last updated on Oct 23, 2013.