Individual
JOHANNA INES UGAZ GAVIDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4849 EL CEMONTE AVE APT 173, DAVIS, CA 95618-4480
(857) 262-7222
Mailing address
4849 EL CEMONTE AVE APT 173, DAVIS, CA 95618-4480
(857) 262-7222
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/15/2025
Last updated
03/15/2025
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