Individual provider · Type 1 NPI

Shawna Dorene Avery, OTC

Other Technician · Modesto, CA

NPI number 1477613883 Active

Practice location

1409 E Briggsmore Ave
Modesto, CA 95355-2707

Fax (209) 572-4579

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: 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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About NPI 1477613883

Shawna Dorene Avery, OTC's National Provider Identifier is 1477613883, issued on Dec 8, 2006. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.