Individual
JOSHUA LEWIS CAVANESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MMS PA-C
Contact information
Practice address
2 MEDICAL PLAZA DR STE 255, ROSEVILLE, CA 95661-3050
(916) 773-8711
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52134
CA
Other
Enumeration date
12/02/2014
Last updated
03/31/2020
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