Individual
BLANCA L AVALOS-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9300 SANTA FE SPRINGS RD, SANTA FE SPRINGS, CA 90670-2621
(844) 804-7727
Mailing address
11708 NOVA ST, SANTA FE SPRINGS, CA 90670-2837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95014670
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95014670
CA
Other
Enumeration date
09/25/2020
Last updated
04/10/2026
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