LUIS ANTONIO AVILA

LEMON GROVE, CA
NPI1841875853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-03-11
Last Update Date2021-03-11
Business Address
LUIS ANTONIO AVILA
2049 SKYLINE DR
LEMON GROVE, CA 91945-4221
Phone number: 619-465-7303
Mailing Address
LUIS ANTONIO AVILA
1400 N JOHNSON AVE STE 101
EL CAJON, CA 92020-1651
Phone number: