Individual
LAURA MAINARDI VILLARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, DEPARTMENT OF NEUROLOGY 3 W. GATES BUILDING, PHILADELPHIA, PA 19104-4238
(215) 662-3370
Mailing address
450 6TH AVE, FL 3, SAN FRANCISCO, CA 94118-3010
(787) 587-3108
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT206184
PA
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
A162340
CA
Other
Enumeration date
05/03/2014
Last updated
02/11/2022
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