Individual
BIVIANNA CHELSEA VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 MANDALAY ST, ONTARIO, CA 91764-2225
(909) 358-5590
Mailing address
1231 MANDALAY ST, ONTARIO, CA 91764-2225
(909) 358-5590
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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