Individual
EVA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1587
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1587
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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