Individual
AVILYNN PWYLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17227 OLD MONTE RIO RD, GUERNEVILLE, CA 95446-9016
(707) 867-6866
Mailing address
PO BOX 2992, GUERNEVILLE, CA 95446-2992
(707) 867-6866
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
359686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359686
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
02/13/2022
Last updated
02/13/2022
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