Individual
DIANA L VILLANUEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1355 N 205TH ST, SHORELINE, WA 98133-3215
(206) 542-5656
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00029248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236538
L&I
WA
05
—
1467508515
—
WA
Enumeration date
01/25/2007
Last updated
06/17/2013
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