Individual
DR. ANNIE AVILEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2783 N SHILOH DR, FAYETTEVILLE, AR 72704-6983
(479) 442-8653
Mailing address
2783 N SHILOH DR, FAYETTEVILLE, AR 72704-6983
(479) 442-8653
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2832
AR
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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