OSMAR EDMUNDO AVILA

GARDEN GROVE, CA
NPI1902678543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-10-26
Last Update Date2023-10-26
Business Address
OSMAR EDMUNDO AVILA
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118
Mailing Address
OSMAR EDMUNDO AVILA
12437 LEWIS ST STE 100
GARDEN GROVE, CA 92840-4651
Phone number: 714-202-0118