Individual
ASHLEY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
136 E SIXTH ST, BEAUMONT, CA 92223-2146
(951) 845-3588
Mailing address
136 E SIXTH ST, BEAUMONT, CA 92223-2146
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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