Individual
LAURA ELIZA VILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
1822 E VELVET DR, TEMPE, AZ 85284-1741
(520) 237-1079
Mailing address
1822 E VELVET DR, TEMPE, AZ 85284-1741
(520) 237-1079
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
20-1867
AZ
Other
Enumeration date
03/31/2020
Last updated
03/31/2020
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