Individual
NICOLE VILLACIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12131 FELIPE ST, EL MONTE, CA 91732-3710
(626) 453-4396
Mailing address
12131 FELIPE ST, EL MONTE, CA 91732-3710
(626) 453-4396
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
11/14/2019
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