Individual
HARRY AVELLONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345
(818) 869-7254
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
20120540
IL
363L00000X
Nurse Practitioner
Primary
95009004
CA
Other
Enumeration date
02/13/2018
Last updated
11/19/2019
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