Doctor Name: | BRIYITH KATERINE AVALOS |
NPI Number: | 1922248228 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. OTR/L |
License Number: | |
Business Practice Address: | Psc 482 Us Naval Hospital Okinawa Fpo, AP - 963629998 |
Business Phone Number: | 3156430000 |
Business Fax Number: | |
Mailing Address: | 1854 Lagrange Rd, CHULA VISTA |
State: | CA |
Postal Code: | 919131680 |
Phone Number: | 7024262166 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2009 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |