Avila, Maria Lourdes

Avila, Maria Lourdes is an sole proprietor health care provider with primary practice located at 17053 Foothill Blvd , Fontana CA 92335-3574. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Avila, Maria Lourdes can be contacted via phone (909) 329-1636.

Contact Information

Primary practice address
17053 Foothill Blvd Fontana CA 92335-3574
Phone: (909) 329-1636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1043855059
LBN Legal business name Avila, Maria Lourdes
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2019
Last updated Nov 13th, 2019 - about 5 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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