CARLOS I AVILA
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1881287902- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1751 N 24TH AVE, PASCO, WA, 993013333
- Phone
- (509) 420-0727
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
License: WA
Student in an Organized Health Care Education/Training Program
Primary License: WA