Individual
CAVAN QUAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
8110 TIMBERLAKE WAY, SACRAMENTO, CA 95823-5401
(916) 689-4111
Mailing address
73 52ND ST, SACRAMENTO, CA 95819-2307
(530) 570-1812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95030658
CA
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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