Most Relevant Information
Provider Data
| NPI Number: | 1003456443 |
| Provider Name: | JEANETTE GAVIA |
| Entity Type: | Individual |
| Taxonomy Code: | 225400000X |
| Specialty: | Rehabilitation Practitioner |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/14/2020 |
| Last Updated: | 01/14/2020 |
Provider Practice Location
21000 PLUMMER ST
CHATSWORTH
CA
913114903
Practice Location Phone/Fax
| Phone: | 8188826400 |
| Fax: |
Provider Mailing Location
21000 PLUMMER ST
CHATSWORTH
CA
913114903
Provider Mailing Phone/Fax
| Phone: | 8188826400 |
| Fax: |