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Individual

BRENDA VILLEDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1461 E COOLEY DR, SUITE 100, COLTON, CA 92324-3921
(909) 980-6700
Mailing address
PO BOX 7373, SAN BERNARDINO, CA 92411-0373

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/20/2015
Last updated
10/20/2015
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