Fanny Raquel Aviles

NPI #1114581634 in Ceres, California

Provider Information

NPI Number: 1114581634
Entity Type: Individual
Name: Fanny Raquel Aviles
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Apr 30, 2019
Last Updated: Apr 30, 2019

Practice Location

Address: 1904 RICHLAND AVE # D
City: Ceres
State: California
ZIP Code: 95307-4562
Phone: (209) 552-9878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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