Individual
MRS. JOANNA MARIE CAVANAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 306-1464
Mailing address
2263 ARDMORE ST, TRENTON, MI 48183-1932
(734) 306-1464
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704408776
MI
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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