Individual
ERIC AVIRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1944 BONITA AVE, BERKELEY, CA 94704-1038
(707) 319-5076
Mailing address
1646 BERKELEY WAY APT 6, BERKELEY, CA 94703-1277
(707) 319-5076
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7073195076
PHONE NUMBER
CA
Enumeration date
06/16/2020
Last updated
06/16/2020
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