Individual
JASON ALAN CAVATAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
496 S BARTON AVE, FRESNO, CA 93702-2985
(559) 860-4422
Mailing address
3433 W SHAW AVE STE 102, FRESNO, CA 93711-3229
(559) 558-4051
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
708631
CA
Other
Enumeration date
05/14/2020
Last updated
06/19/2020
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