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Individual

HORTENCIA AVILA

Active
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Individual

HORTENCIA AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1902084585
CA
175T00000X
Peer Specialist
Primary
MPSS-MNPGAK
CA
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
02/05/2008
Last updated
08/12/2026
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