Individual
BLANCA GLORIA AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1522 HILLSDALE AVE, SAN JOSE, CA 95118-1037
(408) 655-1391
Mailing address
930 PAYNE AVE, GUSTINE, CA 95322-1819
(408) 655-1391
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3718441432
CA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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