Individual
CARMELINA NANCY AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
9990 COUNTY FARM RD, SUITE 6, RIVERSIDE, CA 92503-3542
(951) 358-7380
(951) 358-6311
Mailing address
3893 ELMWOOD CT, RIVERSIDE, CA 92506-1110
(951) 274-9819
(909) 890-2999
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
474596
CA
Other
Enumeration date
02/26/2007
Last updated
07/08/2007
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