Individual
AMANDA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 3RD ST, LA VERNE, CA 91750-4401
(626) 279-1867
Mailing address
1950 3RD ST, LA VERNE, CA 91750-4401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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