Individual
CATALINA AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18834 DEL MANO CT, ADELANTO, CA 92301-2001
(760) 900-0889
Mailing address
18834 DEL MANO CT, ADELANTO, CA 92301-2001
(760) 900-0889
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95211556
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5211556
RN
CA
Enumeration date
05/06/2021
Last updated
05/06/2021
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