Individual
LILYANNA MARIE AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 8092, SCOTTSDALE, AZ 85252-8092
(480) 799-8176
Mailing address
PO BOX 8092, SCOTTSDALE, AZ 85252-8092
(480) 799-8176
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/06/2024
Last updated
12/06/2024
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