Jessica Avalos Reyes
Student in an Organized Health Care Education/Training Program in Fresno, CA. Individual provider (NPI-1).
NPI number1760100705
StatusActive
Last updated in NPPESAug 31, 2026
Details
- NPI
- 1760100705
- Entity type
- Individual (NPI-1)
- Name
- Jessica Avalos Reyes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2022
- Certification date
- Aug 31, 2026
- Last updated
- Aug 31, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
| 172V00000X | Community Health Worker | – | – | |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
3433 W Shaw Ave Ste 107Fresno, CA 93711-3229
Phone 559-476-2115
Mailing address
3433 W Shaw Ave Ste 107Fresno, CA 93711-3229
Phone 559-476-2115
Other practice locations
2934 N Fresno St
Fresno, CA 93703-1123
Fresno, CA 93703-1123
Phone 559-549-6697
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