Individual
MARICELA VILLASENOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 INDIANOLA AVE APT 209, DES MOINES, IA 50315-7114
(206) 751-6461
Mailing address
1720 INDIANOLA AVE APT 209, DES MOINES, IA 50315-7114
(206) 751-6461
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
338911
IA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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