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Colette Kavanaugh, L.E
NPI 1245979905 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1721 Eastern Ave Ste 2
Sacramento, CA 95864 - Phone
- (916) 838-8240
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Other Technician
247200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California