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ELIZABETH AVINA

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1578070876

Individual Registrant:
 ELIZABETH  AVINA 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
325 CHAPMAN AVE APT 1  SAN BRUNO, CA 94066-4960 US
Tel: 650-834-5281  Fax: --

Contact information for business:
325 CHAPMAN AVE APT 1  SAN BRUNO, CA 94066-4960 US
Tel: 650-834-5281  Fax: --

Registration Information:
NPI: 1578070876
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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