Individual
ROSE VILLARREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 UNIVERSITY DR STE 210, SUITE 210, STATE COLLEGE, PA 16801-6552
(814) 234-2007
Mailing address
611 UNIVERSITY DR STE 210, SUITE 210, STATE COLLEGE, PA 16801-6552
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA057411
PA
Other
Enumeration date
07/05/2006
Last updated
05/24/2021
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