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RICHARD ANTHONY AVITIA
>> Licensed Vocational Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1417332495
Individual Registrant: RICHARD ANTHONY AVITIA
Gender: M
Not Sole Proprietor
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: --
Tel: 323-854-7965 Fax: --
Contact information for business:
4313 LANDIS AVE BALDWIN PARK, CA 91706-3230 US
Tel: 323-854-7965 Fax: --
Tel: 323-854-7965 Fax: --
Registration Information:
NPI: 1417332495
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 164X00000X | Nursing Service Providers Licensed Vocational Nurse | CA | 283363 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
