Individual
MR. TED PLACIDO AVILA SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2121 NORTH AVE, GRAND JUNCTION, CO 81501-6428
(970) 242-0731
Mailing address
3005 AUTUMN GLENN CT UNIT B, GRAND JUNCTION, CO 81504-3503
(808) 927-1652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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