Individual
LAURA KAY VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4980 BARRANCA PKWY, SUITE 200, IRVINE, CA 92604-8645
(949) 786-5050
Mailing address
115 SPANISH LACE, IRVINE, CA 92620-3424
(651) 335-6497
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
22221
CA
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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