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RICHARD ANTHONY AVITIA

>> Licensed Vocational Nurse >> Nursing Service Providers

Registrant NPI Number: 1417332495

Individual Registrant:
 RICHARD ANTHONY AVITIA 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
4313 LANDIS AVE  BALDWIN PARK, CA 91706-3230 US
Tel: 323-854-7965  Fax: --

Contact information for business:
4313 LANDIS AVE  BALDWIN PARK, CA 91706-3230 US
Tel: 323-854-7965  Fax: --

Registration Information:
NPI: 1417332495
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y164X00000XNursing Service Providers
Licensed Vocational Nurse
CA283363

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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