Basic Information
Provider Information
NPI: 1427475797
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURREY
FirstName: JOVAUNA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
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Mailing Information
Address1: 4860 Y ST STE 3850
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 958172307
CountryCode: US
TelephoneNumber: 9167345292
FaxNumber: 9167347838
Practice Location
Address1: 4860 Y ST STE 3850
Address2:  
City: SACRAMENTO
State: CA
PostalCode: 95817
CountryCode: US
TelephoneNumber: 9167345292
FaxNumber: 9167347838
Other Information
ProviderEnumerationDate: 03/25/2014
LastUpdateDate: 02/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208100000X143079CAY Allopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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