Individual
COLLEEN GAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 S. MAIN ST, ANGELS CAMP, CA 95222
(209) 736-2507
(209) 736-8367
Mailing address
PO BOX 7000/21, ANGELS CAMP, CA 95222
(209) 736-2507
(209) 736-8367
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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