Individual
CHANDLER D GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 E CESAR CHAVEZ BLVD # 319, FRESNO, CA 93702-3604
(559) 600-2382
Mailing address
1617 E SAGINAW WAY, SUITE #102, FRESNO, CA 93704-4458
(559) 274-0299
(559) 225-0716
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 209645
CA
Other
Enumeration date
09/30/2010
Last updated
12/18/2024
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