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Organization
VILLA STREET SERVICES, LLC
Active
Organization
VILLA STREET SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SHEN MD (PRESIDENT)
(512) 779-7276
Entity
Organization
Contact information
Practice address
990 VILLA ST, MOUNTAIN VIEW, CA 94041-1236
(888) 688-9296
Mailing address
990 VILLA ST, MOUNTAIN VIEW, CA 94041-1236
(888) 688-9296
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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