Individual
GABRIELA VILLALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5922 5TH AVE, LOS ANGELES, CA 90043-3231
(323) 608-1022
Mailing address
5922 5TH AVE, LOS ANGELES, CA 90043-3231
(323) 608-1022
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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