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Individual

ADOLF ALISTAIR DAWIS VILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2738 GRIFFITH AVE, CLOVIS, CA 93611-5603
(216) 762-7300
Mailing address
2738 GRIFFITH AVE, CLOVIS, CA 93611-5603
(216) 762-7300

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95395120
CA
163WC1500X
Community Health Registered Nurse
571599
CA
246RP1900X
Phlebotomy Technician
CPT-02040628
CA

Other

Enumeration date
10/17/2024
Last updated
10/19/2024
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