SearchCalifornia172A00000X

Anna Gavin

NPI 1437508389 · on the registry since 2016 · sole proprietor

Practice

Address
1256 W. Lathrop Rd #376
Manteca, CA 95336
Phone
(925) 263-9331
Organisation at this address
Magnolia Valley Transportation
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Also registered as
171WV0202X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-22

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