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Individual

KRISTA VILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MAT, LAT, ATC

Contact information

Practice address
3650 MORNING STAR DR UNIT 3701, LAS CRUCES, NM 88011-1783
(575) 703-6156
Mailing address
3650 MORNING STAR DR UNIT 3701, LAS CRUCES, NM 88011-1783
(575) 703-6156

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT859
NM

Other

Enumeration date
01/25/2016
Last updated
05/02/2023
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