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Colette Augustina Kavanaugh, LE
Other Technician in Sacramento, California
NPI 1245979905

Colette Augustina Kavanaugh is a Other Technician based in Sacramento, CA. Colette Augustina Kavanaugh practices in Sacramento, CA and has the professional credentials of LE. The NPI Number for Colette Augustina Kavanaugh is 1245979905 and holds a License No. 9736 (California).

The current practice location address for Colette Augustina Kavanaugh is 1721 Eastern Ave Ste 2, Sacramento, CA and can be reached out via phone at 916-838-8240.

Location: 1721 Eastern Ave Ste 2, Sacramento, CA, 95821-3114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245979905
Provider Name
Colette Augustina Kavanaugh
Credential
LE
Provider Entity Type
Individual
Gender
Female
Address
1721 Eastern Ave Ste 2, Sacramento, CA, 95821-3114
Phone Number
916-838-8240
Fax Number
Provider Enumeration Date
06/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1721 Eastern Ave Ste 2
City
Sacramento
State
California
Zip
95864-1745
Phone Number
916-838-8240
Fax Number
person
Provider Business Mailing Address Details
Address
1721 Eastern Ave Ste 2
City
Sacramento
State
California
Zip
95864-1745
Phone Number
916-838-8240
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
9736 (California)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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