ANTHONY VIDAURRI AVITABILE

SAN DIEGO, CA
NPI1083259329
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: CA  28983)
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
ANTHONY VIDAURRI AVITABILE
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129-2698
Phone number: 858-753-5082
Mailing Address
ANTHONY VIDAURRI AVITABILE
13223 BLACK MOUNTAIN RD # 1358
SAN DIEGO, CA 92129-2698
Phone number: 858-753-5082
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