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LINDA CECILIA AVILA LVN
>> Licensed Vocational Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1487917761
Individual Registrant: LINDA CECILIA AVILA LVN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1601 LAKE ST LODI, CA 95242-2436 US
Tel: 209-601-4628 Fax: --
Tel: 209-601-4628 Fax: --
Contact information for business:
2606 BELVEDERE AVE STOCKTON, CA 95205-3255 US
Tel: 209-298-8262 Fax: --
Tel: 209-298-8262 Fax: --
Registration Information:
NPI: 1487917761
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | 266076 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
