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Individual

DR. CRISTINA VILLANUEVA PATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Mailing address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1493DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77000222
KY
01
P00077642
RR MEDICARE
KY
Enumeration date
09/23/2005
Last updated
03/07/2023
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