Individual
JANELLE HERNANDEZ AVITIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2400
(800) 748-3243
Mailing address
2426 W LANSING WAY, FRESNO, CA 93705-2232
(209) 628-0315
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
799923
CA
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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