Individual
GLADYS VILLEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3533 S BUCKAROO TRL, GILBERT, AZ 85297-7710
(480) 782-0935
Mailing address
3533 S BUCKAROO TRL, GILBERT, AZ 85297-7710
(480) 782-0935
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
637555
AZ
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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