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Individual
MAYRA PEREZ AVINA
Active
Individual
MAYRA PEREZ AVINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
95044590
CA
363LF0000X
Family Nurse Practitioner
Primary
95004872
CA
Other
Enumeration date
06/02/2016
Last updated
10/15/2018
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