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Individual

MS. SYLVIA AVILA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1007 N LAKE AVE, PASADENA, CA 91104-4521
(626) 808-9749
Mailing address
2588 LEEBE AVE, POMONA, CA 91768-2742
(909) 282-0655

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
34195
CA

Other

Enumeration date
06/15/2008
Last updated
06/15/2008
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