Most Relevant Information
Provider Data
| NPI Number: | 1003464041 |
| Provider Name: | AVELINA OLGA CHARLES |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/03/2019 |
| Last Updated: | 11/19/2021 |
Provider Practice Location
1290 RIDDER PARK DR
SAN JOSE
CA
951312304
Practice Location Phone/Fax
| Phone: | 4084536500 |
| Fax: |
Provider Mailing Location
1290 RIDDER PARK DR
SAN JOSE
CA
951312304
Provider Mailing Phone/Fax
| Phone: | 4084536500 |
| Fax: |