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Individual

ERMOL VALENZUELA VILLAREAL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
608 MAIDSTONE CT, MILLSBORO, DE 19966-3365
(302) 212-9075
Mailing address
608 MAIDSTONE CT, MILLSBORO, DE 19966-3365
(302) 212-9075

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary

Other

Enumeration date
10/14/2024
Last updated
10/14/2024
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