Individual
DAVID AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
811 W TELEGRAPH RD, SANTA PAULA, CA 93060-5400
(805) 850-8436
Mailing address
1285 WREN DR, HANFORD, CA 93230-5813
(559) 530-5331
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
35616
CA
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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