Individual
ALEGRIA AMOR GELLOR VILLACRUCIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1608 3RD ST, DUARTE, CA 91010-1816
(213) 550-8777
Mailing address
1608 3RD ST, DUARTE, CA 91010-1816
(213) 550-8777
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
760958
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95029858
CA
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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