Individual
MR. MICHAEL ANDREW AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
RALPH NIX CLINIC, 599 TOMALES AVE., PETALUMA, CA 94952
(707) 765-7195
Mailing address
430 ALASKA AVE APT C, PETALUMA, CA 94952-9109
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
24720000X
CA
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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