Individual
MS. ROBERTA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
121 N BEAUDRY AVE, LOS ANGELES, CA 90012-2009
(213) 202-7533
Mailing address
1127 CROWNE DR, PASADENA, CA 91107-5912
(213) 202-7533
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
276628
CA
363LS0200X
School Nurse Practitioner
Primary
276628
CA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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