Individual
AVERY MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1025 E OCEAN AVE STE B, LOMPOC, CA 93436-7088
(805) 757-9546
Mailing address
1025 E OCEAN AVE STE B, LOMPOC, CA 93436-7088
(805) 757-9546
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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