Johanna Avilla
Case Manager/Care Coordinator in Opelousas, LA. Individual provider (NPI-1).
NPI number1013484575
StatusActive
Last updated in NPPESJan 14, 2020
Details
- NPI
- 1013484575
- Entity type
- Individual (NPI-1)
- Name
- Johanna Avilla
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 1, 2018
- Certification date
- Jan 14, 2020
- Last updated
- Jan 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
115 S Main St Ste AOpelousas, LA 70570-6133
Phone 337-407-5060 · Fax 337-407-5104
Mailing address
115 S Main St Ste AOpelousas, LA 70570-6133
Phone 337-407-5060 · Fax 337-407-5104
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