Imelda Avila

NPI 1538883681 · on the registry since 2022 · sole proprietor

Practice

Address: 5100 N 6th St Ste 151
Fresno, CA 93710
Phone: (559) 202-0412
Organisation at this address: Maralik Ani Llc
Citadel & Ivan Llc
Citadel & Ivan Llc
Soul Solutions, Llc
Sierra Medicine, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-12-22

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