Individual
CARLOS DAVID AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2227 CAPRICORN WAY STE 207, SANTA ROSA, CA 95407-5486
(707) 608-4898
Mailing address
556 PARK GLEN DR, WINDSOR, CA 95492-8920
(707) 569-4142
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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