Individual
ANGELINA ARIANA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 318-6100
Mailing address
1005 ATLANTIC AVE, ALAMEDA, CA 94501-1148
(510) 318-6100
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
09/06/2022
Last updated
09/27/2023
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