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Individual

EMILIO JAVIER CAVAZOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
906 SYCAMORE AVE STE 104, VISTA, CA 92081-7839
(760) 630-2550
Mailing address
906 SYCAMORE AVE STE 104, VISTA, CA 92081-7839
(760) 630-2550

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95028094
CA

Other

Enumeration date
05/03/2024
Last updated
04/21/2026
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