Dora Avila, LMT

NPI #1891243200 in New Britain, Connecticut

Provider Information

NPI Number: 1891243200
Entity Type: Individual
Name: Dora Avila, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Sep 14, 2016
Last Updated: Sep 14, 2016

Practice Location

Address: 1270 STANLEY STREET
City: New Britain
State: Connecticut
ZIP Code: 06051
Phone: (959) 999-0310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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