Individual
CASANDRA VILLAFANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2035 MESQUITE AVE STE C, LAKE HAVASU CITY, AZ 86403-5894
(971) 273-9432
Mailing address
3031 CHEMEHUEVI CT, LAKE HAVASU CITY, AZ 86406-7077
(928) 706-3838
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
29106
AZ
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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