Individual
MARY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
280 S DECATUR BLVD, LAS VEGAS, NV 89107-2936
(702) 759-0903
(702) 759-1431
Mailing address
280 S DECATUR BLVD, LAS VEGAS, NV 89107-2936
(702) 759-0903
(702) 759-1431
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-5419
NV
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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