Individual
JESSICA MAIE AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1295 W STATE ST, EL CENTRO, CA 92243-2845
(760) 337-3076
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(760) 482-4000
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
09/10/2009
Last updated
12/09/2025
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