NOEMI AVILA
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1023691623- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 11980 MOUNT VERNON AVE, GRAND TERRACE, CA, 923135172
- Phone
- (909) 864-1097
- Fax
- (951) 225-6879
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: CA #95022305