Individual
PENELOPE C AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110-2198
(702) 608-1488
Mailing address
3551 E BONANZA RD STE 101, LAS VEGAS, NV 89110-2198
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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