Individual
AVERY ERIC ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHSII
Contact information
Practice address
2101 COURAGE DR, M.S.10-300, FAIRFIELD, CA 94533-6717
(707) 784-2046
(707) 784-2103
Mailing address
2101 COURAGE DR, M.S.10-300, FAIRFIELD, CA 94533-6717
(707) 784-2046
(707) 784-2103
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
05/30/2007
Last updated
06/05/2025
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