Individual
JESSICA AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
558 JERSEY AVE, JERSEY CITY, NJ 07302-2706
(848) 448-0962
Mailing address
558 JERSEY AVE, JERSEY CITY, NJ 07302-2706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
29703
CA
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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