Individual
JENNIFER DENICE AVILA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8142 SUNLAND BLVD, SUN VALLEY, CA 91352
(818) 582-8832
(818) 582-8836
Mailing address
12010 CARL ST, SYLMAR, CA 91342-6446
(818) 650-7106
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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