Individual
DR. THELMA CALO VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
408 W CRANE ST, NORTON, KS 67654-1122
(914) 472-7509
(914) 472-7509
Mailing address
408 W CRANE ST, NORTON, KS 67654-1122
(914) 472-7509
(914) 472-7509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-31737
KS
207RN0300X
Nephrology Physician
04-31737
KS
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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