Individual
ERIK J. VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 D ST STE R&S, MARYSVILLE, CA 95901-5952
(530) 702-0088
Mailing address
201 D ST STE R&S, MARYSVILLE, CA 95901-5952
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/28/2023
Last updated
04/18/2024
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