Individual
BETHANY VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
14 RESEARCH PL, NORTH CHELMSFORD, MA 01863-2412
(978) 454-0706
(978) 259-4695
Mailing address
14 RESEARCH PL, NORTH CHELMSFORD, MA 01863-2412
(978) 454-0706
(978) 259-4695
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4940
MA
Other
Enumeration date
02/28/2014
Last updated
02/28/2014
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