KELLY T AVILA

MERCED, CA
NPI1598388316
Other NameKELLY TAPSCOTT AVILA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: CA  95094797)
Enumeration Date2020-05-27
Last Update Date2020-05-27
Business Address
KELLY T AVILA RN, PHN
260 E 15TH ST
MERCED, CA 95341-6216
Phone number: 209-381-1029
Mailing Address
KELLY T AVILA RN, PHN
260 E 15TH ST
MERCED, CA 95341-6216
Phone number: 209-381-1029