Mr. Jack Johnson Avery III
Mr. Jack Johnson Avery III is a Case Manager/Care Coordinator in Downey, California. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
9150 Imperial Hwy Rm P-31Downey, CA 90242-2835
Phone: (562) 940-3694
Fax: (562) 658-7425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1730325986 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 17, 2008 |
| Last updated in NPPES | December 17, 2008 |
| Mailing address | 8526 Grape St, Los Angeles, CA 90001-4134 |
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