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Search › California › 101YM0800X

Jessica Avalos

NPI 1124530951 · on the registry since 2017 · sole proprietor

Practice

Address
1212 N California St
Stockton, CA 95202
Phone
(209) 468-8686
Organisation at this address
Sasha Jackson, Llc
County Of San Joaquin
Larisa Kouperschmidt Md Llc
Bhs Children And Youth Serv
San Joaquin County Mental Health
Inferred from a shared address, not stated in the registry.
Clinicians at this address
844

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Female
Record last updated
2017-11-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California