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Individual

MS. KAREN DELA CRUZ VILLANUEVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
1609 SE 92ND CT, VANCOUVER, WA 98664-2860
(360) 737-7527
Mailing address
2712 NW EDENBOWER BLVD, APT 2, ROSEBURG, OR 97471-6235
(360) 977-0562

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5826
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WW0213190
PHILIPPINE PASSPORT
Enumeration date
06/15/2009
Last updated
06/15/2009
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