Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CA2400X | Assistive Technology Practitioner | 558571 | CA |
NPI | 1942803648 |
---|---|
Provider Name | Dawnmarie Gaivin |
First Address | Oceanside, CA 92056-5823 |
Second Address | Oceanside, CA 92056-5823 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2020 |
Last Update Date | 17/11/2020 |