IndividualActive
Anna Gavin
NPI 1437508389 · Driver · Manteca, CA
Provider details
- NPI number
- 1437508389
- Entity type
- Individual
- Primary specialty
- DriverOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Vehicle Modifications Contractor171WV0202X
Other Service Providers
Practice location
1256 W. Lathrop Rd #376
Manteca, CA 95336
Phone: (925) 263-9331
Approximate (ZIP-level) locationGet directions
Mailing address
1256 W. Lathrop Rd #376
Lathrop, CA 95330
Registry dates
- Enumerated
- 2016-06-10
- Last updated
- 2024-02-22
- Certified
- 2024-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.