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Individual

IRENE VILLEGAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
(661) 266-1210
Mailing address
43520 DIVISION ST, LANCASTER, CA 93535-4089
(661) 266-4783
(661) 266-1210

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95-2633765
MEDI-CAL
CA
Enumeration date
03/03/2021
Last updated
03/03/2021
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