Individual
FERNANDO H AVILA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
27200 IRIS AVE, MORENO VALLEY, CA 92555-4803
(951) 251-6000
Mailing address
24300 OLD COUNTRY RD, MORENO VALLEY, CA 92557-4007
(951) 231-3389
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
22234
CA
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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