Most Relevant Information
Provider Data
| NPI Number: | 1003665712 |
| Provider Name: | KATHLEEN MARY CAVANAUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 164X00000X |
| Specialty: | Licensed Vocational Nurse |
| License Number: | 178106 |
Most Important Dates
| Enumeration Date: | 05/15/2024 |
| Last Updated: | 05/15/2024 |
Provider Practice Location
10425 PAINTER AVE
SANTA FE SPRINGS
CA
906703429
Practice Location Phone/Fax
| Phone: | 5629062685 |
| Fax: |
Provider Mailing Location
12070 TELEGRAPH RD
SANTA FE SPRINGS
CA
906703771
Provider Mailing Phone/Fax
| Phone: | 3109182859 |
| Fax: |