Individual
JUAN JESUS VILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
61 E 14TH ST, HEBER, CA 92249
(760) 457-8727
Mailing address
PO BOX 125, HEBER, CA 92249-0125
(760) 457-8727
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
34106
CA
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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