Organization
AVANT INFUSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIN DOLOKSARIBU (OWNER/PRESIDENT)
(909) 446-6223
Entity
Organization
Contact information
Practice address
350 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408-3764
(909) 446-6223
Mailing address
350 COMMERCIAL RD STE 104, SAN BERNARDINO, CA 92408-3764
(909) 446-6223
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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