Individual
AUSHAI DE VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 COURT ST STE 100, JACKSON, CA 95642-2162
(209) 257-1244
Mailing address
601 COURT ST STE 100, JACKSON, CA 95642-2162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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