Individual
GILDARDO ALONSO VILLARRUEL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2431 RIVER PLAZA DR APT 163A, SACRAMENTO, CA 95833-3251
(707) 646-5496
Mailing address
2431 RIVER PLAZA DR APT 163A, SACRAMENTO, CA 95833-3251
(707) 646-5496
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
54674
CA
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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