Individual
MR. PAUL SMITH VILLAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134
(619) 532-8209
Mailing address
PSC 826 BOX 1, FPO, AE 09761-0001
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RE2422
GU
363LA2100X
Acute Care Nurse Practitioner
Primary
19630
CA
363LF0000X
Family Nurse Practitioner
NP0180
GU
Other
Enumeration date
03/22/2011
Last updated
12/12/2024
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