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Individual

JESSICA AVALOS REYES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3433 W SHAW AVE STE 107, FRESNO, CA 93711-3229
(559) 476-2115
Mailing address
3433 W SHAW AVE STE 108, FRESNO, CA 93711-3229
(559) 558-4051

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
08/16/2022
Last updated
06/05/2025
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