Individual
RON AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7140 S 30TH PL, LINCOLN, NE 68516-4858
(402) 440-2265
Mailing address
7140 S 30TH PL, LINCOLN, NE 68516-4858
(402) 440-2265
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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