MISS Jennifer Ann Avila
NPI #1073874137 in South Richmond Hill, New York
Provider Information
- NPI Number
- 1073874137
- Entity Type
- Individual
- Name
- MISS Jennifer Ann Avila
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 6, 2012
- Last Updated
- Jun 6, 2012
Practice Location
- Address
- 9711 133RD ST
- State
- New York
- ZIP Code
- 11419-2324
- Phone
- (917) 386-3607
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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