Individual
JESUS ANGEL AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
79440 CORPORATE CENTER DR STE 113, LA QUINTA, CA 92253-7244
(760) 564-4726
Mailing address
44313 LAUREL ST, INDIO, CA 92201-2967
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6360
CA
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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