Individual
ROBERT JOHN CAVALIERE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1701 N 13TH ST, SHELTON, WA 98584-2077
(360) 426-2653
Mailing address
PO BOX 1668, SHELTON, WA 98584-5001
(360) 427-9549
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO61160944
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
10/29/2021
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