Individual
DARINE VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 VICENTE ST, SAN FRANCISCO, CA 94116-2923
(415) 681-3211
Mailing address
4629 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1224
(626) 833-2290
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172V00000X
OTHER SERVICE PROVIDERS
CA
Enumeration date
02/04/2015
Last updated
02/04/2015
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