Individual
DAVID CAVAZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10469 E AMERICAN AVE, DEL REY, CA 93616-9703
(559) 903-7107
Mailing address
10469 E AMERICAN AVE, DEL REY, CA 93616-9703
(559) 903-7107
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN190815
CA
Other
Enumeration date
11/06/2015
Last updated
11/06/2015
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