Individual
ANGELICA AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
845 7TH ST, WASCO, CA 93280-1919
(661) 459-1000
Mailing address
845 7TH ST, WASCO, CA 93280-1919
(661) 459-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9502556
CA
Other
Enumeration date
08/25/2021
Last updated
01/08/2025
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