Individual
DAVID CUAUHTEMOC VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2412 BUHNE ST, EUREKA, CA 95501-3207
(707) 441-1624
(707) 441-1253
Mailing address
670 9TH ST, ARCATA, CA 95521-6248
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A98275
CA
2084P0800X
Psychiatry Physician
A98275
CA
Other
Enumeration date
02/07/2007
Last updated
01/12/2012
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