Individual
JESSICA G AVALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
330 CANAL ST APT 19C, SAN RAFAEL, CA 94901-6219
(415) 879-5870
Mailing address
330 CANAL ST APT 19C, SAN RAFAEL, CA 94901-6219
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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