Individual
MISS JANICE MAE VILLEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2236 PARK ROSE AVE, DUARTE, CA 91010-3536
(626) 475-4663
Mailing address
2236 PARK ROSE AVE, DUARTE, CA 91010-3536
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95015031
CA
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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