DIVINA GRACIA AVERILLA

LAS VEGAS, NV
NPI1467504175
Former NameDIVINA GRACIA AVERILLA-OBENA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NV  7308)
Enumeration Date2007-01-16
Last Update Date2022-10-14
Business Address
DIVINA GRACIA AVERILLA MD
8595 S DECATUR BLVD STE 108
LAS VEGAS, NV 89139-7006
Phone number: 702-948-1130
Mailing Address
DIVINA GRACIA AVERILLA MD
6355 S BUFFALO DR FL 3
LAS VEGAS, NV 89113-2133
Phone number: 702-216-3346