Individual
ERICA VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
VN
Contact information
Practice address
66 HURLBUT ST, PASADENA, CA 91105-4025
(626) 441-4221
Mailing address
16543 SUGAR LN, FONTANA, CA 92337-7626
(626) 217-3669
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
690521
CA
Other
Enumeration date
05/30/2017
Last updated
05/30/2017
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