JUAN JR AVALOS ACEVES
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1669324455- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 83873 CHARRO DR, INDIO, CA, 922032860
- Phone
- (760) 851-8699
Specialties & Taxonomies
Physician Assistant
License: AZ
Student in an Organized Health Care Education/Training Program
Primary License: AZ