Individual
CARMEN AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1168 LELAND AVE, TULARE, CA 93274-7811
(559) 336-1776
Mailing address
1168 LELAND AVE, TULARE, CA 93274-7811
(559) 336-1776
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
701206
CA
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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