Individual
BLANCA E AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 SCRIPPS DR STE 302, SACRAMENTO, CA 95825-6207
(714) 472-7942
Mailing address
1164 FORMBY WAY, ROSEVILLE, CA 95747-6456
(714) 472-7942
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
860482
NV
363LF0000X
Family Nurse Practitioner
Primary
95022845
CA
Other
Enumeration date
11/09/2022
Last updated
06/27/2025
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