Maria Lourdes Avila

NPI #1043855059 in Fontana, California

Provider Information

NPI Number: 1043855059
Entity Type: Individual
Name: Maria Lourdes Avila
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: Nov 13, 2019
Last Updated: Nov 13, 2019

Practice Location

Address: 17053 FOOTHILL BLVD
City: Fontana
State: California
ZIP Code: 92335-3574
Phone: (909) 329-1636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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