Individual
MS. ELIZA C. VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
635 N 1ST ST, SAN JOSE, CA 95112-5162
(831) 524-6748
Mailing address
1146 WILLOW GLEN WAY, SAN JOSE, CA 95125-3349
(831) 524-6748
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/17/2011
Last updated
01/03/2022
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