Individual
MRS. JUANITA C VILLASIS-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Mailing address
13833 TAPIA AVE, BAYOU LA BATRE, AL 36509-2515
(251) 824-4985
(251) 824-4990
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00004405
AL
Other
Enumeration date
09/21/2006
Last updated
05/28/2014
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