Individual
ANTONIO VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
935 BANCROFT WAY, BERKELEY, CA 94710-2334
(510) 459-8974
Mailing address
935 BANCROFT WAY, BERKELEY, CA 94710-2334
(510) 459-8974
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95041228
CA
Other
Enumeration date
05/22/2020
Last updated
07/13/2020
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