Individual provider · Type 1 NPI

Anna Gavin

Driver · Manteca, CA

NPI number 1437508389 Active

Practice location

1256 W. Lathrop Rd #376
Manteca, CA 95336

Mailing address

1256 W. Lathrop Rd #376
Lathrop, CA 95330

Specialties and licenses

TaxonomyCodeLicense
Vehicle Modifications Contractor 171WV0202XNone listed
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1437508389

Anna Gavin's National Provider Identifier is 1437508389, issued on Jun 10, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Manteca, CA. The record was last updated on Feb 22, 2024.