Individual
MRS. ESTELITA DISCIPULO AVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7171 BOWLING DR, 300, SACRAMENTO, CA 95823
(916) 875-0802
(916) 875-0854
Mailing address
6808 RIO TEJO WAY, ELK GROVE, CA 95757
(916) 875-0802
(916) 875-0854
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN111149
CA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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