Individual
CHELSEY LAUREN VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 BODIN CIR, 60 MDS/SGOF, TRAVIS AFB, CA 94535-1809
(707) 423-3735
Mailing address
101 BODIN CIR, 60 MDG/SGOP, TRAVIS AFB, CA 94535-1809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28233
NE
Other
Enumeration date
01/14/2011
Last updated
12/17/2021
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