Individual
CHRISTINE D CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1141 N OLIVE AVE, TURLOCK, CA 95380-3365
(209) 667-2749
(209) 668-5396
Mailing address
737 W CHILDS AVE, MERCED, CA 95341-6805
(209) 383-1848
(209) 383-1296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN544279
CA
363A00000X
Physician Assistant
Primary
1050160
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP12234
—
CA
Enumeration date
05/24/2006
Last updated
01/13/2012
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