Most Relevant Information
Provider Data
| NPI Number: | 1003303256 |
| Provider Name: | GISELLE AVILA |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/13/2018 |
| Last Updated: | 06/16/2018 |
Provider Practice Location
4350 ARVILLE ST STE 40
LAS VEGAS
NV
891033811
Practice Location Phone/Fax
| Phone: | 7022023184 |
| Fax: |
Provider Mailing Location
1768 S CHRISTY LN
LAS VEGAS
NV
891420116
Provider Mailing Phone/Fax
| Phone: | 7026305844 |
| Fax: |