Tina Marie Kavanagh
NPI #1053968560 in Manteca, California
Provider Information
- NPI Number
- 1053968560
- Entity Type
- Individual
- Name
- Tina Marie Kavanagh
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Aug 20, 2019
- Last Updated
- Aug 20, 2019
Practice Location
- Address
- 635 ARGONAUT ST
- City
- Manteca
- State
- California
- ZIP Code
- 95336-3616
- Phone
- (209) 513-5295
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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