Individual
ANTHONY VILLA SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 752-1766
Mailing address
6061 S BROADWAY, LORAIN, OH 44053-3818
(440) 752-1766
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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