Individual
MR. VICTOR RAY VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3235 COSBEY AVE, BALDWIN PARK, CA 91706-4500
(714) 417-3206
Mailing address
3235 COSBEY AVE, BALDWIN PARK, CA 91706-4500
(714) 417-3206
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
75510
CA
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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