Individual
ATZYTZYANA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2636 MARCONI AVE, SACRAMENTO, CA 95821-5106
(916) 485-6917
Mailing address
11 INDIGO OAKS CT, SACRAMENTO, CA 95834-3830
(916) 719-7035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
78573
CA
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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