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Individual

ALEXIS AVALOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1510 SAN PABLO ST, LOS ANGELES, CA 90033-5320
(800) 872-2273
Mailing address
10411 CORLEY DR, WHITTIER, CA 90604-1113
(132) 360-8973

Taxonomy

Speciality
Code
Description
License number
State
374700000X
Technician
Primary

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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