Avila Guzman, Jara Judaia

Avila Guzman, Jara Judaia is an individual health care provider with primary practice located at 554 Groth Pl , San Jose CA 95111-4501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Avila Guzman, Jara Judaia can be contacted via phone (408) 489-9480.

Contact Information

Primary practice address
554 Groth Pl San Jose CA 95111-4501
Phone: (408) 489-9480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X California

Profile Details

NPI number 1821764945
LBN Legal business name Avila Guzman, Jara Judaia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2021
Last updated Aug 18th, 2021 - about 3 years ago

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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