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Carlos Alberto Chavez Alcala
Psychiatric/Mental Health Registered Nurse in Provo, Utah
NPI 1760131916

Carlos Alberto Chavez Alcala is a Psychiatric/Mental Health Registered Nurse based in Provo, UT and is specialized in Psychiatric/Mental Health. Carlos Alberto Chavez Alcala practices in Provo, UT. The NPI Number for Carlos Alberto Chavez Alcala is 1760131916 and holds a License No. 8550144-3102 (Utah).

The current practice location address for Carlos Alberto Chavez Alcala is 750 N Freedom Blvd Ste 300, Provo, UT and can be reached out via phone at 801-373-4760.

Location: 750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760131916
Provider Name
Carlos Alberto Chavez Alcala
Credential
Provider Entity Type
Individual
Gender
Male
Address
750 N Freedom Blvd Ste 300, Provo, UT, 84601-1690
Phone Number
801-373-4760
Fax Number
Provider Enumeration Date
03/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider Business Mailing Address Details
Address
750 N Freedom Blvd Ste 300
City
Provo
State
Utah
Zip
84601-1690
Phone Number
801-373-4760
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
8550144-3102 (Utah)
Definition
Definition to come...
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