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Individual

VANESSA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
PO BOX 79466, CORONA, CA 92877-0182
(951) 858-4899

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
Primary
95122637
CA

Other

Enumeration date
07/19/2017
Last updated
07/19/2017
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