Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 8071 | AZ |
NPI | 1487987368 |
---|---|
Provider Name | Dr. Renee Cauvin |
First Address | Yuma, AZ 85364-8127 |
Second Address | Yuma, AZ 85364-8127 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2009 |
Last Update Date | 10/09/2009 |