Individual
BERNADETTE ASHLEY VILLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23600 TELO AVE STE 145, TORRANCE, CA 90505-4035
(310) 325-3084
Mailing address
23600 TELO AVE STE 145, TORRANCE, CA 90505-4035
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95027380
CA
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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