LAWANDA CRYSTAL AVILA

SAN JOSE, CA
NPI1295385714
Former NameLAWANDA CRYSTAL ANTONUCCI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-09-17
Last Update Date2019-09-17
Business Address
LAWANDA CRYSTAL AVILA
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-6152
Mailing Address
LAWANDA CRYSTAL AVILA
2221 ENBORG LN
SAN JOSE, CA 95128-2608
Phone number: 408-885-6152
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