TANNER CAVANAUGH

MODESTO, CA
NPI1811394976
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  59206)
Additional Taxonomies146N00000X Emergency Medical Technician, Basic
(Licence: NV  74381)
Enumeration Date2014-12-04
Last Update Date2021-05-17
Business Address
TANNER CAVANAUGH
3105 MCHENRY AVE STE 101
MODESTO, CA 95350-1439
Phone number: 209-575-2700
Mailing Address
TANNER CAVANAUGH
PO BOX 130
OWYHEE, NV 89832
Phone number: