Individual
YENNY M VIEYRA AVILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3879 LAFAYETTE ST, RIVERSIDE, CA 92503-3821
(951) 289-8306
Mailing address
3879 LAFAYETTE ST, RIVERSIDE, CA 92503-3821
(951) 289-8306
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336426546
CA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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