Avila, Anthony Jason

Avila, Anthony Jason is an individual health care provider with primary practice located at 2080 S E St , San Bernardino CA 92408-2773. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Avila, Anthony Jason can be contacted via phone (909) 388-9191.

Contact Information

Primary practice address
2080 S E St San Bernardino CA 92408-2773
Phone: (909) 388-9191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1689259731
LBN Legal business name Avila, Anthony Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2021
Last updated Jun 10th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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