Doctor Name: | HEATHER ILENE CAVION |
NPI Number: | 1740614288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASW |
License Number: | |
Business Practice Address: | 762 Cypress St San Dimas, CA - 917733505 |
Business Phone Number: | 9095991227 |
Business Fax Number: | |
Mailing Address: | Po Box 1344, CHINO |
State: | CA |
Postal Code: | 917081344 |
Phone Number: | 9099961796 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2013 |
NPI Last Update Date: | 05/24/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |