Individual
TANYA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
Mailing address
131 W MIDWAY DR, ANAHEIM, CA 92805-6507
(714) 517-7107
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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