Doctor Name: | MAVANY CAFFREY |
NPI Number: | 1457724403 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 8851 Center Dr Ste 501 La Mesa, CA - 919423017 |
Business Phone Number: | 6196972456 |
Business Fax Number: | 8584297930 |
Mailing Address: | Po Box 33865, SAN DIEGO |
State: | CA |
Postal Code: | 921633865 |
Phone Number: | 8588887700 |
Fax Number: | 8585008021 |
NPI Enumeration Date: | 11/12/2015 |
NPI Last Update Date: | 04/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |