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Individual

DANIEL ANTHONY VILLEGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
30979 ROAD 67, VISALIA, CA 93291-9303
(559) 651-2301
(559) 651-1584
Mailing address
30979 ROAD 67, VISALIA, CA 93291-9303
(559) 651-2301
(559) 651-1584

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22510
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22510
CA LICENSE
CA
Enumeration date
09/06/2012
Last updated
09/06/2012
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