Individual
MR. ISIDRO AVALOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
7921 VALLEY VIEW CIR APT 10, LA MESA, CA 91941-8455
(757) 667-9254
Mailing address
7921 VALLEY VIEW CIR APT 10, LA MESA, CA 91941-8455
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
01/28/2014
Last updated
01/28/2014
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