Individual
NANCY A. PAVSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1338 W WINTON AVE, HAYWARD, CA 94545-1408
(408) 835-9410
Mailing address
1338 W WINTON AVE, HAYWARD, CA 94545-1408
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
146373
CA
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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