Individual
MARIA DE AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 SAN FELIPE RD STE 9, HOLLISTER, CA 95023-3035
(831) 630-9002
Mailing address
321 SAN FELIPE RD STE 9, HOLLISTER, CA 95023-3035
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1158
CA
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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