Individual
JORGE R AVILA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
147 N BRENT ST, VENTURA, CA 93003-2854
(805) 652-5011
Mailing address
1777 ALTA VISTA PL, CAMARILLO, CA 93012-4077
(818) 203-3910
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
59531
CA
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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