Individual
YESENIA AVALOS-VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 HOMESTEAD RD, LOS ALTOS, CA 94024-7339
(408) 774-0134
(408) 774-9594
Mailing address
10081 LYNDALE AVE, SAN JOSE, CA 95127-3728
(669) 350-6375
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
173767
CA
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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