Individual
JENNIFER AVISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5924 STONERIDGE DR STE 108, PLEASANTON, CA 94588-5400
(925) 892-4290
Mailing address
5924 STONERIDGE DR STE 108, PLEASANTON, CA 94588-5400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A137711
CA
2086S0129X
Vascular Surgery Physician
Primary
A137711
CA
Other
Enumeration date
04/08/2009
Last updated
11/12/2024
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