Individual
COREY VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 W 5TH ST APT 1008, AUSTIN, TX 78703-5445
(415) 939-1934
Mailing address
PO BOX 744, AUSTIN, TX 78767-0744
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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