Individual
JEFFREY VILLAFLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1821 E CHAPMAN AVE, FULLERTON, CA 92831-4102
(714) 879-7301
Mailing address
250 E ACACIA ST APT 206, BREA, CA 92821-6508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 9238
CA
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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