Individual
MRS. ARCELYN VILLANUEVA ABAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
13633 AVION DR, LA MIRADA, CA 90638-3701
(213) 509-8348
Mailing address
13633 AVION DR, LA MIRADA, CA 90638-3701
(213) 509-8348
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95007839
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
747434
REGISTERED NURSE
CA
Enumeration date
11/02/2017
Last updated
11/04/2021
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