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Joseph Cavanagh JR.
Student in an Organized Health Care Education/Training Program in San Diego, California
NPI 1053768895

Joseph Cavanagh JR. is a Student in an Organized Health Care Education/Training Program based in San Diego, CA. Joseph Cavanagh JR. practices in San Diego, CA. The NPI Number for Joseph Cavanagh JR. is 1053768895 and holds a License No. (California).

The current practice location address for Joseph Cavanagh JR. is 2865 Logan Ave, San Diego, CA and can be reached out via phone at 619-232-4357.

Location: 2865 Logan Ave, San Diego, CA, 92113-2411
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053768895
Provider Name
Joseph Cavanagh JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
2865 Logan Ave, San Diego, CA, 92113-2411
Phone Number
619-232-4357
Fax Number
Provider Enumeration Date
05/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2865 Logan Ave
City
San Diego
State
California
Zip
92113-2411
Phone Number
619-232-4357
Fax Number
person
Provider Business Mailing Address Details
Address
2865 Logan Ave
City
San Diego
State
California
Zip
92113-2411
Phone Number
619-232-4357
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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