| NPI | 1073396560 |
|---|---|
| Other Name | GINO AVILA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist (Licence: CA MPSS-VPRIOQ) |
| Additional Taxonomies | 101Y00000X Counselor |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2024-03-29 |