Individual
AMY MARIE VILLARET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
925 TAHOE BLVD STE 105, INCLINE VILLAGE, NV 89451-7498
(775) 580-7600
(775) 831-0946
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1281
NV
363A00000X
Physician Assistant
PA21440
CA
Other
Enumeration date
02/16/2011
Last updated
08/27/2015
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